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1104310010
JENNIFER R GORDON
NORFOLK, VA
NPI
1104310010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-06-15
Last Update Date
2018-06-15
Business Address
JENNIFER R GORDON
171 KEMPSVILLE RD BLDG A
NORFOLK, VA 23502-4700
Phone number: 757-668-6550
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Mailing Address
JENNIFER R GORDON
5118 RADCLIFF CIR
PORTSMOUTH, VA 23703-4619
Phone number: 309-706-5500
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