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1952383143
EDWIN GILLIAM
TUCSON, AZ
NPI
1952383143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ RN085103)
Enumeration Date
2005-11-15
Last Update Date
2007-07-08
Business Address
-- EDWIN GILLIAM FP
1775 E SKYLINE DR STE 101
TUCSON, AZ 85718-1162
Phone number: 520-615-6200
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Mailing Address
-- EDWIN GILLIAM FP
1775 E SKYLINE DR STE 101
TUCSON, AZ 85718-1162
Phone number: 520-615-6200
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