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1093264996
PHEBE GORDON
DETROIT LAKES, MN
NPI
1093264996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN CNP 4837)
Enumeration Date
2016-10-03
Last Update Date
2016-12-21
Business Address
-- PHEBE GORDON NPC
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-5611
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Mailing Address
-- PHEBE GORDON NPC
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-364-8000
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