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1356869473
THOMAS WILLIAM GORDON
SAN DIEGO, CA
NPI
1356869473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2017-09-08
Last Update Date
2022-07-21
Business Address
THOMAS WILLIAM GORDON IDC
34101 FARENHOLT AVENUE BUILDING 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-7968
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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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