Individual
PATRICIA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 GREEN ST, DOWAGIAC, MI 49047-1102
(910) 381-9868
Mailing address
307 GREEN ST, DOWAGIAC, MI 49047-1102
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
4703109323
MI
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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