BENNIE GORDON

COLTON, CA
NPI1104097823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  176537)
Enumeration Date2008-03-20
Last Update Date2008-03-20
Business Address
-- BENNIE GORDON
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1800
Mailing Address
-- BENNIE GORDON
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1800
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