Laura Gort

NPI 1124310883 - Counselor - 101YA0400X

NPI Details
NPI 1124310883
Gender Female
Enumeration Date 05/12/2011
Last Updated 05/12/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
508 MENDOCINO CT
ATWATER CA, 95301-4230, US
Phone (209) 357-5261
Fax
Business Location
559 MENDOCINO CT
ATWATER CA, 95301-4230, US
Phone (209) 357-5200
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Mrs. Laura Gort NPI is 1124310883, taxonomy code is 101YA0400X Laura Gort physically located at 508 Mendocino Ct, Atwater CA, 95301-4230. NPI Number Laura Gort has the Individual type.

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1124310883 NPI number is provided on an as is basis without warranty of any kind. 1124310883 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Gort are for informational purposes only.