SHANDY GORE

SHREVEPORT, LA
NPI1033477757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2012-05-01
Last Update Date2012-05-01
Business Address
Miss SHANDY GORE IDMT
5610 BUNCOMBE RD APT 907
SHREVEPORT, LA 71129-3617
Phone number: 318-516-9943
Mailing Address
Miss SHANDY GORE IDMT
5610 BUNCOMBE RD APT 907
SHREVEPORT, LA 71129-3617
Phone number: 318-516-9943
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