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Individual

IRINA A GORDEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
211 4TH STREET, ALEXANDRIA, LA 71301
(318) 769-5283
(318) 336-6064
Mailing address
211 4TH STREET, BOX 30162, ALEXANDRIA, LA 71301
(318) 769-5283
(318) 336-6064

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD15004R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1160644
LA
Enumeration date
06/05/2006
Last updated
08/26/2011
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