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1366459711
JUSTIN R GORDON
CHICAGO, IL
NPI
1366459711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046006849)
Enumeration Date
2006-08-01
Last Update Date
2011-07-07
Business Address
Dr. JUSTIN R GORDON OD
3143 W DEVON AVE
CHICAGO, IL 60659-1424
Phone number: 773-764-5300
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Mailing Address
Dr. JUSTIN R GORDON OD
3143 W DEVON AVE
CHICAGO, IL 60659-1424
Phone number: 773-764-5300
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