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1427455831
SHAN C GORDON
PADUCAH, KY
NPI
1427455831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 4007490)
Enumeration Date
2014-12-01
Last Update Date
2024-08-05
Business Address
Mrs. SHAN C GORDON ARNP
867 MCGUIRE AVE
PADUCAH, KY 42001-4036
Phone number: 731-394-1145
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Mailing Address
Mrs. SHAN C GORDON ARNP
PO BOX 269084 DEPT 1102
OKLAHOMA CITY, OK 73126
Phone number: 731-394-1145
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