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Individual

MRS. DEANNA RENEE GORDINIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4200 GARDINER VIEW AVE, SUITE 101, LOUISVILLE, KY 40213-1877
(502) 456-0494
Mailing address
4200 GARDINER VIEW AVE, SUITE 101, LOUISVILLE, KY 40213-1877
(502) 456-0494

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009768
KY

Other

Enumeration date
09/28/2015
Last updated
02/08/2016
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