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1245225358
AMANDA MAY GORDON
MONROE, LA
NPI
1245225358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LA 1922)
Enumeration Date
2005-09-14
Last Update Date
2007-07-08
Business Address
Mr. AMANDA MAY GORDON R.D.
309 JACKSON ST
MONROE, LA 71201-7407
Phone number: 318-327-4072
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Mailing Address
Mr. AMANDA MAY GORDON R.D.
126 CRESTVIEW DR
WEST MONROE, LA 71291-7553
Phone number:
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