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Gabrielle M Nielsen

Specialist/Technologist, Athletic Trainer in Kirksville, MO. Individual provider (NPI-1).

NPI number1831925221
StatusActive
Last updated in NPPESSep 11, 2024

Details

NPI
1831925221
Entity type
Individual (NPI-1)
Name
Gabrielle M Nielsen
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 11, 2024
Certification date
Sep 11, 2024
Last updated
Sep 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

100 E Normal Ave
Kirksville, MO 63501-4221

Phone 660-785-4114

Mailing address

705 E Mining Camp Rd
Nixa, MO 65714-7671

Phone 417-353-9612

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