TINA RENEE GILMORE

ADA, OK
NPI1144535758
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-08-09
Last Update Date2010-08-09
Business Address
Mrs. TINA RENEE GILMORE MS
704 N OAK AVE STE 20
ADA, OK 74820-3267
Phone number: 580-332-3001
Mailing Address
Mrs. TINA RENEE GILMORE MS
704 N OAK AVE STE 20
ADA, OK 74820-3267
Phone number: 580-332-3001
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