Individual
JAMIE LYNN GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1611 MAIN ST STE 102, WOODWARD, OK 73801-3064
(580) 254-8192
(580) 256-3624
Mailing address
1611 MAIN ST STE 102, WOODWARD, OK 73801-3064
(580) 254-8192
(580) 256-3624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4298
OK
Other
Enumeration date
07/10/2006
Last updated
10/20/2020
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