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1346235439
GORDON KENNETH DEAGMAN
AURORA, CO
NPI
1346235439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO 18107)
Enumeration Date
2005-09-14
Last Update Date
2007-07-08
Business Address
Dr. GORDON KENNETH DEAGMAN M.D.
1550 S POTOMAC ST
AURORA, CO 80012-5458
Phone number: 303-755-1164
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Mailing Address
Dr. GORDON KENNETH DEAGMAN M.D.
1550 S POTOMAC ST
AURORA, CO 80012-5455
Phone number: 303-755-1164
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