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1023728896
CHANELLE GORDON
OMAHA, NE
NPI
1023728896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NE 1006)
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
CHANELLE GORDON Ph.D.
14122 MANDERSON PLZ APT 107
OMAHA, NE 68164-6296
Phone number: 415-294-0872
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Mailing Address
CHANELLE GORDON Ph.D.
14122 MANDERSON PLZ APT 107
OMAHA, NE 68164-6296
Phone number: 415-294-0872
Copy
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