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Individual

MS. EILEEN KILBANE GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
9000 MENTOR AVE, 100, MENTOR, OH 44060-4496
(440) 974-4470
(440) 974-4173
Mailing address
9000 MENTOR AVE, 100, MENTOR, OH 44060
(440) 974-4470
(440) 974-4173

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NPO2449
OH

Other

Enumeration date
11/22/2006
Last updated
07/07/2011
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