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1346989985
VICTOR COLLINS GORDON
WHITE CITY, OR
NPI
1346989985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: VA 0001174221)
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
Mr. VICTOR COLLINS GORDON RN
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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Mailing Address
Mr. VICTOR COLLINS GORDON RN
1111 LEFT FORK HUMBUG CREEK RD
JACKSONVILLE, OR 97530-9625
Phone number: 541-301-5502
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