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1063440899
ALFRED Y GORDON
FAYETTEVILLE, AR
NPI
1063440899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR E-0004)
Enumeration Date
2006-06-29
Last Update Date
2021-12-16
Business Address
ALFRED Y GORDON MD
3340 N COLLEGE AVE STE 5
FAYETTEVILLE, AR 72703
Phone number: 479-443-3536
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Mailing Address
ALFRED Y GORDON MD
PO BOX 1523
FAYETTEVILLE, AR 72702-1523
Phone number: 479-571-6038
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