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1255811931
STEVE GORDON
LEAGUE CITY, TX
NPI
1255811931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2113599)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
STEVE GORDON
255 N EGRET BAY BLVD
LEAGUE CITY, TX 77573-6533
Phone number: 352-382-1141
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Mailing Address
STEVE GORDON
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141
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