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1225198146
JUDITH LOENE GORDON
COLLEGE PARK, GA
NPI
1225198146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA R71791)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
-- JUDITH LOENE GORDON
1920 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Phone number: 404-765-4224
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Mailing Address
-- JUDITH LOENE GORDON
99 JESSE HILL JR DR SE
ATLANTA, GA 30303
Phone number:
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