Organization
DAWN L GORE APRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN LYNN GORE CCNS (OWNER)
(419) 602-6402
Entity
Organization
Contact information
Practice address
87 ELM ST, MILAN, OH 44846-9740
(419) 602-6402
Mailing address
PO BOX 454, MILAN, OH 44846-0454
(419) 602-6402
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
OH
Enumeration date
12/01/2020
Last updated
12/06/2020
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