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1780036772
DREW GILLEY
ROOSEVELT, UT
NPI
1780036772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 9816603-9922)
Enumeration Date
2016-07-01
Last Update Date
2016-07-01
Business Address
-- DREW GILLEY
375 E LAGOON ST, ROOSEVELT, UT 84066
ROOSEVELT, UT 84066
Phone number: 435-722-9995
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Mailing Address
-- DREW GILLEY
483 N 190 E
ROOSEVELT, UT 84066-2573
Phone number: 801-707-7825
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