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1427338896
AKEEM MAGIC GORDON
SPARKS, NV
NPI
1427338896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-08-17
Last Update Date
2011-08-17
Business Address
AKEEM MAGIC GORDON
350 KRESGE LN
SPARKS, NV 89431-6435
Phone number: 775-359-9200
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Mailing Address
AKEEM MAGIC GORDON
350 KRESGE LN
SPARKS, NV 89431-6435
Phone number: 775-359-9200
Copy
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