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Individual

ALISSA PAULA SEBASTIAN GAMOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2501 W ILLINOIS AVE, MIDLAND, TX 79701-6436
(432) 203-0200
Mailing address
4805 BRIARWOOD AVE APT D306, MIDLAND, TX 79707-2656
(432) 276-0711

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1286600
TX

Other

Enumeration date
11/28/2023
Last updated
11/28/2023
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