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1023354826
GORDON T MA
WEST SACRAMENTO, CA
NPI
1023354826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: CA AFE18861)
Enumeration Date
2012-12-25
Last Update Date
2012-12-25
Business Address
DR. GORDON T MA M.D.
1459 FERNWOOD ST
WEST SACRAMENTO, CA 95691-3626
Phone number: 916-371-4222
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Mailing Address
DR. GORDON T MA M.D.
1459 FERNWOOD ST
WEST SACRAMENTO, CA 95691-3626
Phone number: 916-371-4222
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