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1891407185
LATRICE MARIE GILLIS
TONAWANDA, NY
NPI
1891407185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 404533)
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
Mrs. LATRICE MARIE GILLIS PMHNP
72 EVERGREEN DR
TONAWANDA, NY 14150-6402
Phone number: 716-799-2063
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Mailing Address
Mrs. LATRICE MARIE GILLIS PMHNP
72 EVERGREEN DR
TONAWANDA, NY 14150-6402
Phone number: 716-799-2063
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