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1528137155
JAY M. GILLENWATER
CHARLOTTESVILLE, VA
NPI
1528137155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: VA 0101226171)
Enumeration Date
2006-11-07
Last Update Date
2016-11-09
Business Address
-- JAY M. GILLENWATER M.D.
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902-5354
Phone number: 434-296-9161
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Mailing Address
-- JAY M. GILLENWATER M.D.
1878 KERNWOOD PL
CHARLOTTESVILLE, VA 22911-8320
Phone number:
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