Individual
ALEXIS GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
1573 GRANDVIEW AVE, COLUMBUS, OH 43212-2457
(614) 599-9926
Mailing address
1573 GRANDVIEW AVE, COLUMBUS, OH 43212-2457
(614) 599-9926
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002841
OH
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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