GARRY GILLIS

ORANGE PARK, FL
NPI1679546212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL52)
Enumeration Date2006-02-13
Last Update Date2007-07-08
Business Address
-- GARRY GILLIS ATC
540 KINGSLEY AVE
ORANGE PARK, FL 32073-4847
Phone number: 904-536-0548
Mailing Address
-- GARRY GILLIS ATC
802 S LILAC LOOP
JACKSONVILLE, FL 32259-1919
Phone number: 904-536-0548
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