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Individual
PATRICIA ODOM GORDON
Active
Individual
PATRICIA ODOM GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
761144
TX
363LP2300X
Primary Care Nurse Practitioner
761144
TX
Other
Enumeration date
12/03/2008
Last updated
09/16/2011
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