MS. Tina Louise Gore, LMT

NPI #1275714925 in Waxahachie, Texas

Provider Information

NPI Number: 1275714925
Entity Type: Individual
Name: MS. Tina Louise Gore, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Nov 23, 2007
Last Updated: Nov 23, 2007

Practice Location

Address: 1170 COLORADO DR
City: Waxahachie
State: Texas
ZIP Code: 75167-8199
Phone: (972) 938-2316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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