NPI 1366894529

Dahmon Keith Gullord

Practitioner Taxi Fairmont, MN

Practice location

Address: 422 Webster St, Fairmont, MN 56031-4142
Phone: (507) 848-3748

Registered specialties

Taxi Primary

Transportation Services Taxonomy 344600000X Licence US DOT 2573346 (MN)

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Registry record

NPI: 1366894529
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2016
Record last updated: 11 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.