Individual
SELENA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 S LEMAY AVE, FORT COLLINS, CO 80524-3288
(970) 490-1128
(970) 490-1136
Mailing address
731 S LEMAY AVE, FORT COLLINS, CO 80524-3288
(970) 490-1128
(970) 490-1136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18389
CO
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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