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Individual
MR. ANTONIO JORGE GILMORE
Active
Individual
MR. ANTONIO JORGE GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W/L.S.W-PENDING
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NULL
225400000X
Rehabilitation Practitioner
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
NV
05
—
225400000X
—
NV
Enumeration date
02/01/2011
Last updated
02/01/2011
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