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1205248200
JUSTIN W GORDON
OKLAHOMA CITY, OK
NPI
1205248200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OK 731)
Enumeration Date
2014-05-24
Last Update Date
2014-05-24
Business Address
MR. JUSTIN W GORDON ATC, LAT
3500 SW 119TH ST
OKLAHOMA CITY, OK 73170-4500
Phone number: 405-692-3252
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Mailing Address
MR. JUSTIN W GORDON ATC, LAT
3500 SW 119TH ST
OKLAHOMA CITY, OK 73170-4500
Phone number: 405-692-3252
Copy
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