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Individual
MR. ODELL DELROY GORDON
Active
Individual
MR. ODELL DELROY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14923500
NJ
363LF0000X
Family Nurse Practitioner
F338818-1
NY
Other
Enumeration date
06/05/2014
Last updated
05/16/2024
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