Individual
GABRIELLE M NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E NORMAL AVE, KIRKSVILLE, MO 63501-4221
(660) 785-4114
Mailing address
705 E MINING CAMP RD, NIXA, MO 65714-7671
(417) 353-9612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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