Individual
MS. TRACY L GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3316 WOODSIDE DR, FAIRFIELD, OH 45014-5023
(513) 218-7996
(513) 860-0341
Mailing address
3316 WOODSIDE DR, FAIRFIELD, OH 45014-5023
(513) 218-7996
(513) 860-0341
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2850937
OH
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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