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1144917592
SHAVONNE L. GORDON
BREAUX BRIDGE, LA
NPI
1144917592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 210430)
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
SHAVONNE L. GORDON Lpn
648 LATIOLAIS RD
BREAUX BRIDGE, LA 70517-4231
Phone number: 337-332-4878
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Mailing Address
SHAVONNE L. GORDON Lpn
2308 COTEAU RD
NEW IBERIA, LA 70560-9172
Phone number: 337-339-0858
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