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1407606536
JARED JUNIOR JACOB GORDON
ROANOKE, VA
NPI
1407606536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-22
Last Update Date
2024-03-26
Business Address
Dr. JARED JUNIOR JACOB GORDON MD
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
Dr. JARED JUNIOR JACOB GORDON MD
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-529-9230
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