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Individual

JENNIFER R GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
171 KEMPSVILLE RD BLDG A, NORFOLK, VA 23502-4700
(757) 668-6550
Mailing address
5118 RADCLIFF CIR, PORTSMOUTH, VA 23703-4619
(309) 706-5500

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
VA

Other

Enumeration date
06/15/2018
Last updated
06/15/2018
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