TERRY LEE GOURLEY

ELLSWORTH AFB, SD
NPI1710014477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NE  866)
Enumeration Date2007-02-28
Last Update Date2018-05-03
Business Address
TERRY LEE GOURLEY PA
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706-4821
Phone number: 053-853-2736
Mailing Address
TERRY LEE GOURLEY PA
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706-4821
Phone number: 605-385-3111
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