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Individual

MR. JOHN L GILMOUR

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MA, ATC

Contact information

Practice address
29 N MAIN ST, WEST HARTFORD, CT 06107-1933
(860) 561-2624
(860) 561-2642
Mailing address
59 OLDE HALL RD, HEBRON, CT 06248-1209
(860) 228-5156

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/26/2006
Last updated
07/08/2007
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