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1740006295
JEFFERY LEE GILLEY
MYRTLE BEACH, SC
NPI
1740006295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-12-02
Last Update Date
2024-12-02
Business Address
JEFFERY LEE GILLEY
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579-7335
Phone number: 888-655-2418
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Mailing Address
JEFFERY LEE GILLEY
PO BOX 1213
DOBSON, NC 27017-1213
Phone number: 704-838-6773
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