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1104955327
LISA WEBBER GORE
MOBILE, AL
NPI
1104955327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: AL 1-057454)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Mrs. LISA WEBBER GORE CRNP
1700 CENTER ST
MOBILE, AL 36604-3301
Phone number: 251-415-1055
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Mailing Address
Mrs. LISA WEBBER GORE CRNP
8955 LAKE VIEW DR
FAIRHOPE, AL 36532-6971
Phone number: 251-990-0096
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