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1104061274
GORDON JAMES ESTRADA
RICHMOND, VA
NPI
1104061274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: VA 0001113746)
Enumeration Date
2008-12-03
Last Update Date
2008-12-03
Business Address
-- GORDON JAMES ESTRADA RN
1201 BROAD ROCK BLVD
RICHMOND, VA 23249-0001
Phone number: 804-675-5000
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Mailing Address
-- GORDON JAMES ESTRADA RN
9230 BAREFOOT TRL
CHESTERFIELD, VA 23832-9216
Phone number: 804-745-6063
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