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Individual
ANNETTE GORDON
Active
Individual
ANNETTE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N. CLC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.240968
OH
163WC0400X
Case Management Registered Nurse
RN.240968
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP820172
DL
OH
Enumeration date
05/31/2011
Last updated
08/04/2022
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