Individual
MS. DEANNA MARIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1617 CHESTNUT ST, TOLEDO, OH 43608-3003
(419) 255-0695
Mailing address
1617 CHESTNUT ST, TOLEDO, OH 43608-3003
(419) 255-0695
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN117595
OH
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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