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1184301681
SHANTEL LYNETTE GORDON
FRESH MEADOWS, NY
NPI
1184301681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 2583471)
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
Ms. SHANTEL LYNETTE GORDON
61-43 186TH STREET
FRESH MEADOWS, NY 11365-2710
Phone number: 917-557-8636
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Mailing Address
Ms. SHANTEL LYNETTE GORDON
3515 GRACE AVE APT 2R
BRONX, NY 10466-5845
Phone number: 917-557-8636
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