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1396755617
DAVID WAYNE GORDON
NORFOLK, VA
NPI
1396755617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810000716)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
Dr. DAVID WAYNE GORDON Ph.D.
1611 COLLEY AVE STE D
NORFOLK, VA 23517-1677
Phone number: 757-288-9741
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Mailing Address
Dr. DAVID WAYNE GORDON Ph.D.
1611 COLLEY AVE STE D
NORFOLK, VA 23517-1677
Phone number: 757-288-9741
Copy
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