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1356579064
JEFFREY SCOTT GORDON
PLACERVILLE, CA
NPI
1356579064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-07-01
Last Update Date
2009-07-01
Business Address
-- JEFFREY SCOTT GORDON LPT
935B SPRING ST
PLACERVILLE, CA 95667-4523
Phone number: 530-621-6218
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Mailing Address
-- JEFFREY SCOTT GORDON LPT
935B SPRING ST
PLACERVILLE, CA 95667-4523
Phone number: 530-621-6218
Copy
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