BRENDA GORDON

TUCKER, GA
NPI1396132320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: GA  059684695)
Enumeration Date2015-04-16
Last Update Date2015-04-16
Business Address
-- BRENDA GORDON
3983 LAVISTA RD SUITE 164
TUCKER, GA 30084-5153
Phone number: 404-861-0807
Mailing Address
-- BRENDA GORDON
2109 RUTHERFORD GLEN CIR
ATLANTA, GA 30340-3878
Phone number: 404-861-0807
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