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1033939483
MATTHEW LUCAS GORDON
BALTIMORE, MD
NPI
1033939483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MD A01046)
Enumeration Date
2024-10-11
Last Update Date
2024-10-11
Business Address
MATTHEW LUCAS GORDON
711 W 40TH ST STE 206
BALTIMORE, MD 21211-2108
Phone number: 410-842-6055
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Mailing Address
MATTHEW LUCAS GORDON
5104 YORK ROAD STUDENT LIFE- SETON 08B
BALTIMORE, MD 21212
Phone number: 470-833-8900
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