Deborah J Gillham, LMP, CCST

NPI #1760775647 in University Place, Washington

Provider Information

NPI Number: 1760775647
Entity Type: Individual
Name: Deborah J Gillham, LMP, CCST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP, CCST
Enumeration Date: May 25, 2011
Last Updated: May 25, 2011

Practice Location

Address: 4103 BRIDGEPORT WAY W
City: University Place
State: Washington
ZIP Code: 98466-4300
Phone: (253) 460-1824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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