Individual
DEONA M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 EDWIN C MOSES BLVD. 1ST FLOOR, SAMARITAN BEHAVIORAL HEALTH, INC., DAYTON, OH 45417-3424
(937) 734-8333
(937) 734-4343
Mailing address
601 EDWIN C. MOSES BLVD. 1ST FLOOR, SAMARITAN BEHAVIORAL HEALTH, INC., DAYTON, OH 45417-3424
(937) 734-8333
(937) 734-4343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
400974
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
400974
OH
Other
Enumeration date
08/09/2017
Last updated
10/30/2017
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