Individual
JUSTEEN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 S MAIN ST APT 204, NEWARK, DE 19711-7973
(732) 456-3063
Mailing address
119 S MAIN ST APT 204, NEWARK, DE 19711-7973
(732) 456-3063
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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