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1275910168
ELLEN R GORDON
MADISON, WI
NPI
1275910168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-04-30
Last Update Date
2015-04-30
Business Address
-- ELLEN R GORDON MD
3209 DRYDEN DR
MADISON, WI 53704-3015
Phone number: 608-241-9020
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Mailing Address
-- ELLEN R GORDON MD
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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