Individual
BENJAMIN GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8900
(870) 200-6535
Mailing address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8900
(870) 200-6535
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
125670
AR
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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