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Individual

KATELYN ROSE GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
211 N 12TH ST, LEHIGHTON, PA 18235-1138
(484) 526-5210
Mailing address
211 N 12TH ST, LEHIGHTON, PA 18235-1138
(484) 526-5210

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066256P
PA

Other

Enumeration date
12/02/2024
Last updated
12/02/2024
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