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Individual

CHERYL R GORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
855 LOVERS LN STE 106, BOWLING GREEN, KY 42103-7989
(270) 938-5765
(833) 471-3546
Mailing address
737 LAURELWOOD CIR, BOWLING GREEN, KY 42103-6008
(270) 599-2419
(833) 471-3546

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3009103
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5010003
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100346680
KY
Enumeration date
01/08/2015
Last updated
03/20/2019
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