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Individual
MS. CAROL DORIS GORTON
Active
Individual
MS. CAROL DORIS GORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
200340568RN
OR
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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