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Individual

GABRIELLE NICOLE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
605 N 7TH ST, CROCKETT, TX 75835-1625
(936) 899-8882
Mailing address
605 N 7TH ST, CROCKETT, TX 75835-1625
(936) 899-8882

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
34780893
TX

Other

Enumeration date
12/06/2018
Last updated
12/06/2018
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