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1134883150
FAITH GORDON
BLYTHEWOOD, SC
NPI
1134883150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: GA 51310731)
Enumeration Date
2021-10-26
Last Update Date
2021-10-26
Business Address
FAITH GORDON
1026 HEART PINE DR
BLYTHEWOOD, SC 29016-7321
Phone number: 803-546-8824
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Mailing Address
FAITH GORDON
1026 HEART PINE DR
BLYTHEWOOD, SC 29016-7321
Phone number: 803-546-8824
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