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Individual

NIKKIE JEAN CARSON-GILMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1870 NORTHWESTERN DRIVE, EL PASO, TX 79912
(915) 877-5800
Mailing address
885 HOLLY PARK AVE, SANTA TERESA, NM 88008-9573
(615) 478-4347

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PHYA2909
AK

Other

Enumeration date
05/10/2023
Last updated
05/10/2023
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