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1124421029
ELYSE GORDON
BRADENTON, FL
NPI
1124421029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA8210)
Enumeration Date
2014-10-06
Last Update Date
2014-10-06
Business Address
-- ELYSE GORDON
8114 SPRING MARSH DR
BRADENTON, FL 34201-2083
Phone number: 941-209-0189
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Mailing Address
-- ELYSE GORDON
8114 SPRING MARSH DR
BRADENTON, FL 34201-2083
Phone number:
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