Individual
FAITH GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
453 W 10TH AVE, COLUMBUS, OH 43210-2205
(614) 292-6446
Mailing address
220 GRANVILLE ST, VENICE, IL 62090-1019
(618) 225-3363
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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