DIRCK ANTHONY GILLAM

NEW ORLEANS, LA
NPI1730477449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: LA  045476)
Enumeration Date2011-07-14
Last Update Date2011-07-15
Business Address
-- DIRCK ANTHONY GILLAM
145 ELK PL
NEW ORLEANS, LA 70112-2645
Phone number: 504-525-0918
Mailing Address
-- DIRCK ANTHONY GILLAM
2401 DIVISION ST APT E34
METAIRIE, LA 70001-8805
Phone number: 504-975-7102
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