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1558796375
PENNY ELAINE GORE
FT WORTH, TX
NPI
1558796375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP0905X Clinic/Center, Public Health, State or Local
(Licence: TX 555439)
Enumeration Date
2013-09-11
Last Update Date
2013-09-11
Business Address
-- PENNY ELAINE GORE RN
1101 S MAIN ST
FT WORTH, TX 76104-4802
Phone number: 817-321-4700
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Mailing Address
-- PENNY ELAINE GORE RN
2400 PRESIDENTIAL DR
CLEBURNE, TX 76031-0303
Phone number: 682-472-6651
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