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1235243569
RITA L GORDON
JACKSON, MS
NPI
1235243569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R784456)
Enumeration Date
2006-08-17
Last Update Date
2011-07-12
Business Address
-- RITA L GORDON APRN
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321
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Mailing Address
-- RITA L GORDON APRN
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321
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