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1245356393
JOELLEN GORDON
TAMPA, FL
NPI
1245356393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA 2812)
Enumeration Date
2007-03-21
Last Update Date
2016-04-06
Business Address
-- JOELLEN GORDON PHYSICIAN ASSISTANT
6821 W HILLSBOROUGH AVE STE #19
TAMPA, FL 33634-5003
Phone number: 813-890-0705
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Mailing Address
-- JOELLEN GORDON PHYSICIAN ASSISTANT
2810 W DR MLK BLVD
TAMPA, FL 33607-6306
Phone number: 813-877-8450
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