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1639350317
DAMON S. GILMORE
HOUSTON, TX
NPI
1639350317
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Entity Type
Organization
Authorized Contact
DAMON SHAROD GILMORE
CEO
713-434-7653
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2007-11-21
Last Update Date
2007-11-21
Business Address
DAMON S. GILMORE
4207 BERAN DR
HOUSTON, TX 77045-4208
Phone number: 713-434-7653
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Mailing Address
DAMON S. GILMORE
PO BOX 460075
HOUSTON, TX 77056-8075
Phone number: 713-434-7653
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