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Individual

JOSEPH GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1108 LAPEER RD, FLINT, MI 48503-2704
(810) 232-7919
(810) 232-7913
Mailing address
529 MARTIN LUTHER KING JUNIOR BLVD, FLINT, MI 48502-2002
(810) 238-7226

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
06/02/2022
Last updated
06/02/2022
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