Antonio Jorge Gilmore M.S.W/L.S.W-PENDING

NPI 1750687281 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1750687281
Gender Male
Enumeration Date 02/01/2011
Last Updated 02/01/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
4285 N RANCHO DR
STE 130
LAS VEGAS NV, 89130-3446, US
Phone (702) 385-5331
Fax (702) 385-5678
Business Location
9101 W SAHARA AVE
STE 105 #190
LAS VEGAS NV, 89117-5772, US
Phone (702) 266-5636
Fax (702) 869-8870
Toxanomy
Taxonomy Code 225400000X
License State
License Number
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According to our database, Mr. Antonio Jorge Gilmore M.S.W/L.S.W-PENDING NPI is 1750687281, taxonomy code is 225400000X Antonio Jorge Gilmore M.S.W/L.S.W-PENDING physically located at 4285 N Rancho Dr, Las Vegas NV, 89130-3446. NPI Number Antonio Jorge Gilmore M.S.W/L.S.W-PENDING has the Individual type.

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1750687281 NPI number is provided on an as is basis without warranty of any kind. 1750687281 is maintained by the National Plan & Provider Enumeration System. The contents of Antonio Jorge Gilmore M.S.W/L.S.W-PENDING are for informational purposes only.