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Mr. Randal D. Gillen, LMP
Specialist in Ellensburg, Washington
NPI 1851559652

Randal D. Gillen is a Specialist based in Ellensburg, WA. Randal D. Gillen practices in Ellensburg, WA and has the professional credentials of LMP. The NPI Number for Randal D. Gillen is 1851559652 and holds a License No. MA00023402 (Washington).

The current practice location address for Randal D. Gillen is 507 N Pine St, Ellensburg, WA and can be reached out via phone at 509-925-1525 and via fax at 509-925-1526.

Location: 507 N Pine St, Ellensburg, WA, 98926-3373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851559652
Provider Name
Randal D. Gillen
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
507 N Pine St, Ellensburg, WA, 98926-3373
Phone Number
509-925-1525
Fax Number
509-925-1526
Provider Enumeration Date
05/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
507 N Pine St
City
Ellensburg
State
Washington
Zip
98926-5024
Phone Number
509-925-1525
Fax Number
509-925-1526
person
Provider Business Mailing Address Details
Address
507 N Pine St
City
Ellensburg
State
Washington
Zip
98926-5024
Phone Number
509-925-1525
Fax Number
509-925-1526
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00023402 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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