Individual
ABIGAIL ODESSA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 769-4490
(575) 769-4430
Mailing address
PO BOX 19000, CLOVIS, NM 88102-9000
(575) 769-4490
Taxonomy
Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
RN-80773
NM
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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