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Contact Information

NICOLE GILMORE
526 W ROOSEVELT ST
PHOENIX, AZ85003-1330
 Phone: 602-309-3928
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician

374700000X
Indicates primary specialty

NPI Profile & details for NICOLE GILMORE · (Female)

NPI # 1891580338
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2025
Last updated 04/14/2025 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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