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1063783926
RODRICO GORDON
BRONX, NY
NPI
1063783926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F310858)
Enumeration Date
2012-01-24
Last Update Date
2023-01-31
Business Address
RODRICO GORDON ANP
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-583-7736
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Mailing Address
RODRICO GORDON ANP
281 EDGECOMBE AVE APT 7F
NEW YORK, NY 10031-3014
Phone number: 718-600-0075
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