Provider Information for 1124334941
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Ms. JANET GILES M.A.
Sex: Female
NPI: 1124334941
Last Updated: 2019-06-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1124334941 | ||||||||
| Enumeration Date | 2010-08-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1112 WASHINGTON ST RED BLUFF, CA 96080-2749 United States Phone: 530-527-6702 | Fax: | ||||||||
| Primary Practice Address | 1112 WASHINGTON ST RED BLUFF, CA 96080-2749 United States Phone: 907-581-1202 | Fax: | ||||||||
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