THOMAS WILLIAM GORDON

SAN DIEGO, CA
NPI1356869473
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2017-09-08
Last Update Date2022-07-21
Business Address
THOMAS WILLIAM GORDON IDC
34101 FARENHOLT AVENUE BUILDING 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-7968
Mailing Address
THOMAS WILLIAM GORDON IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-7968
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