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1003217928
ALLIE GAMMILL KNICELY
DALLAS, TX
NPI
1003217928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX AP126297)
Enumeration Date
2014-09-10
Last Update Date
2019-11-07
Business Address
ALLIE GAMMILL KNICELY FNP
4431 TRAVIS ST APT 110
DALLAS, TX 75205-4136
Phone number: 501-454-7538
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Mailing Address
ALLIE GAMMILL KNICELY FNP
7228 SYRACUSE DR
DALLAS, TX 75214-1737
Phone number: 501-454-7538
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