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1619754637
GILLIAN JERLEEN PHELPS
SOMERSET, KY
NPI
1619754637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: KY TSA057)
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
GILLIAN JERLEEN PHELPS csfa
305 LANGDON ST
SOMERSET, KY 42503-2750
Phone number: 606-679-7441
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Mailing Address
GILLIAN JERLEEN PHELPS csfa
74 HERMOSA DR
SOMERSET, KY 42503-5652
Phone number: 704-775-6762
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