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Individual
MRS. JENNIFER THERESA GILMORE
Active
Individual
MRS. JENNIFER THERESA GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302808-1
NY
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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