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1457909905
SAMUEL K BORE
GRAND PRAIRIE, TX
NPI
1457909905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 62432)
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
Dr. SAMUEL K BORE LPC
4683 BETTS DR
GRAND PRAIRIE, TX 75052-1801
Phone number: 469-835-2904
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Mailing Address
Dr. SAMUEL K BORE LPC
304 BROOKHAVEN DR
GRAND PRAIRIE, TX 75052-3587
Phone number: 469-835-2904
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