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Individual

NICHOLLE MARIE GILBERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
123 FOREST AVE, VERMILLION, SD 57069-3107
(605) 670-0338
(605) 624-2992
Mailing address
123 FOREST AVE, VERMILLION, SD 57069-3107
(605) 670-0338
(605) 624-2992

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1113
SD
314000000X
Skilled Nursing Facility
13217
IA
314000000X
Skilled Nursing Facility
2522
NE

Other

Enumeration date
02/01/2012
Last updated
02/01/2012
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