Individual
DEBRA S GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9660 S 1300 E, SANDY, UT 84094-3762
(801) 501-2600
Mailing address
9660 S 1300 E, SANDY, UT 84094-3762
(801) 501-2600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218494-3102
UT
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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