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1114462397
CHANELLE GORDON
SAINT ALBANS, NY
NPI
1114462397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 354879)
Enumeration Date
2016-12-27
Last Update Date
2024-09-07
Business Address
CHANELLE GORDON FNP-C
11816 197TH ST
SAINT ALBANS, NY 11412-3456
Phone number: 347-752-8240
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Mailing Address
CHANELLE GORDON FNP-C
11816 197TH ST
SAINT ALBANS, NY 11412-3456
Phone number: 347-752-8240
Copy
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