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Individual

KELLEE GILMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-3771
Mailing address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-3771

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
264820
NC

Other

Enumeration date
01/25/2017
Last updated
01/25/2017
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