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1336884659
AS GORDON ENTERPRISE LLC
GRAYSLAKE, IL
NPI
1336884659
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Entity Type
Organization
Authorized Contact
AVERILL GORDON
Owner/ President
904-477-3853
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2022-05-02
Last Update Date
2022-05-02
Business Address
AS GORDON ENTERPRISE LLC
102 CENTER ST
GRAYSLAKE, IL 60030-1533
Phone number: 904-477-3853
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Mailing Address
AS GORDON ENTERPRISE LLC
1282 CHESTERFIELD LN
GRAYSLAKE, IL 60030-3797
Phone number: 904-477-3853
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