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1619452240
DAVID ANTON GILMORE
MILWAUKEE, WI
NPI
1619452240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-28
Last Update Date
2018-09-28
Business Address
DAVID ANTON GILMORE
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number: 414-386-5859
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Mailing Address
DAVID ANTON GILMORE
9529 W BRADLEY RD
MILWAUKEE, WI 53224-2928
Phone number:
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