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Individual

EMILY A GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1235 OSOS ST STE 100, SAN LUIS OBISPO, CA 93401-3619
(805) 596-4517
(805) 546-6038
Mailing address
1235 OSOS ST STE 100, SAN LUIS OBISPO, CA 93401-3619
(805) 596-4517
(805) 546-6038

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95032444
CA

Other

Enumeration date
11/14/2024
Last updated
11/14/2024
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