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1942831417
GILLIS LEE LANGSTON
TALLAHASSEE, FL
NPI
1942831417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9112995)
Enumeration Date
2020-02-03
Last Update Date
2020-02-03
Business Address
GILLIS LEE LANGSTON PA
3334 CAPITAL MEDICAL BLVD STE 400
TALLAHASSEE, FL 32308-4470
Phone number: 850-877-8174
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Mailing Address
GILLIS LEE LANGSTON PA
3334 CAPITAL MEDICAL BLVD STE 400
TALLAHASSEE, FL 32308-4470
Phone number: 850-877-8174
Copy
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