DEIDRE ALLISON GORDON

ZACHARY, LA
NPI1114301140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  20100280)
Enumeration Date2015-07-20
Last Update Date2015-07-20
Business Address
-- DEIDRE ALLISON GORDON LPN
5905 CARPENTER RD APT 1
ZACHARY, LA 70791-4061
Phone number: 225-301-6616
Mailing Address
-- DEIDRE ALLISON GORDON LPN
5905 CARPENTER RD APT 1
ZACHARY, LA 70791-4061
Phone number: 225-301-6616
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