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1366529174
GORDON JUAN
BERKELEY, CA
NPI
1366529174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA C38064)
Enumeration Date
2006-11-01
Last Update Date
2014-02-03
Business Address
Dr. GORDON JUAN M.D.
3282 ADELINE ST
BERKELEY, CA 94703-2439
Phone number: 510-981-5260
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Mailing Address
Dr. GORDON JUAN M.D.
3282 ADELINE ST
BERKELEY, CA 94703-2439
Phone number: 510-981-5260
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