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Individual
MRS. YVETTE M.C. GORDON
Active
Individual
MRS. YVETTE M.C. GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
225566
NY
207Q00000X
Family Medicine Physician
Primary
A65095
CA
207Q00000X
Family Medicine Physician
MA074799
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225566
NYS LICENSE
NY
01
—
MA0704799
NJ LICENSE
NM
Enumeration date
11/06/2006
Last updated
12/03/2021
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