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1194033530
GORDON TODD ERICKSON
CASPER, WY
NPI
1194033530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WY 501)
Enumeration Date
2010-09-20
Last Update Date
2016-03-31
Business Address
GORDON TODD ERICKSON PA
5820 E 2ND ST
CASPER, WY 82609-4308
Phone number: 307-234-9037
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Mailing Address
GORDON TODD ERICKSON PA
5820 E 2ND ST
CASPER, WY 82609-4308
Phone number: 307-234-9037
Copy
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