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Individual

MR. TERENCE GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
2717 LEIGHTON RIDGE DR, STE 100, WAKE FOREST, NC 27587-5987
(919) 556-3403
Mailing address
2717 LEIGHTON RIDGE DR, STE 100, WAKE FOREST, NC 27587-5987

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
03/30/2016
Last updated
03/30/2016
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