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1942314299
PENNY GILLIAM
DALLAS, TX
NPI
1942314299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 746269)
Enumeration Date
2006-08-17
Last Update Date
2018-06-11
Business Address
PENNY GILLIAM CRNA
6606 LBJ FWY STE 200
DALLAS, TX 75240
Phone number: 972-715-5000
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Mailing Address
PENNY GILLIAM CRNA
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-233-1999
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