Individual
JESSICA A. GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1098
(419) 294-4991
(419) 209-0278
Mailing address
1040 DELAWARE AVE, MARION, OH 43302-6416
(419) 294-4991
(419) 209-0278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005319RX
OH
Other
Enumeration date
10/12/2017
Last updated
01/13/2021
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