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Individual

ROBERT DARNELL GORDON SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15212 SALEM CT, REDFORD, MI 48239-3441
(313) 895-6922
Mailing address
15212 SALEM CT, REDFORD, MI 48239-3441
(313) 895-6922

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
G635745135684
MI

Other

Enumeration date
03/21/2024
Last updated
03/21/2024
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