Individual
LEONARD RAY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
143 N 31ST AVE, OMAHA, NE 68131-2912
(402) 218-6549
Mailing address
143 N 31ST AVE, OMAHA, NE 68131-2912
(402) 218-6549
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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