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1245920628
NIKKIE JEAN CARSON-GILMORE
EL PASO, TX
NPI
1245920628
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Former Name
NIKI JEAN SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AK PHYA2909)
Enumeration Date
2023-05-10
Last Update Date
2023-05-10
Business Address
NIKKIE JEAN CARSON-GILMORE PTA
1870 NORTHWESTERN DRIVE
EL PASO, TX 79912
Phone number: 915-877-5800
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Mailing Address
NIKKIE JEAN CARSON-GILMORE PTA
885 HOLLY PARK AVE
SANTA TERESA, NM 88008-9573
Phone number: 615-478-4347
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