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1053950303
BILLY GORDON
DALLAS, TX
NPI
1053950303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
(Licence: TX 1992)
Enumeration Date
2020-01-04
Last Update Date
2020-01-04
Business Address
Mr. BILLY GORDON LP
4001 ROSS AVE APT 111
DALLAS, TX 75204-5252
Phone number: 321-217-9297
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Mailing Address
Mr. BILLY GORDON LP
4001 ROSS AVE APT 111
DALLAS, TX 75204-5252
Phone number: 321-217-9297
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