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1285393330
CHANTE L GORDON
FORT PIERCE, FL
NPI
1285393330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-12-15
Last Update Date
2021-12-15
Business Address
Miss CHANTE L GORDON
2011 S 25TH ST STE 108
FORT PIERCE, FL 34947-4795
Phone number: 772-242-1079
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Mailing Address
Miss CHANTE L GORDON
2011 S 25TH ST STE 108
FORT PIERCE, FL 34947-4795
Phone number: 772-242-1079
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