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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DAHMON KEITH GULLORD

Active Sole Proprietor

MR. DAHMON KEITH GULLORD is a Van Provider healthcare provider located in FAIRMONT, Minnesota. NPI 1366894529 is currently active in the NPPES registry. Verify at CMS.

Van Provider · FAIRMONT, MN

Registration Details

NPI Number
1366894529
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2016 (10.089843963838 yrs)
Last Updated
Jul 11, 2016
License
US DOT 2573346 (MN)
Sole Proprietor
Yes

Practice Information

Address
422 WEBSTER ST
FAIRMONT, MN, 560314142
Browse MN providers · Browse ZIP 56031
Phone
5078483748
Primary Specialty
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.