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1386278596
EDWARD GORDON
TALLAHASSEE, FL
NPI
1386278596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-02-26
Last Update Date
2020-02-26
Business Address
Mr. EDWARD GORDON
2472 CHATEAU LN
TALLAHASSEE, FL 32311-5604
Phone number: 850-896-4709
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Mailing Address
Mr. EDWARD GORDON
115 S PINETREE BLVD APT 1205 BLDG 12
THOMASVILLE, GA 31792-7175
Phone number: 229-221-5073
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