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AUSTIN DANIEL GILLESPIE

>> Specialist/Technologist, Other >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1477187433

Individual Registrant:
 AUSTIN DANIEL GILLESPIE 
Gender: M
Sole Proprietor

Location and contact information for practice:
48745 3 POINTS RD  LAKE HUGHES, CA 93532-1122 US
Tel: 866-402-8801  Fax: --

Contact information for business:
36481 EAGLE LN  BEAUMONT, CA 92223-8007 US
Tel: 909-557-3529  Fax: --

Registration Information:
NPI: 1477187433
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y246Z00000XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Other

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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