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1427673649
RONNY KEITH GORDON
OKLAHOMA CITY, OK
NPI
1427673649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK R0105864)
Enumeration Date
2020-06-12
Last Update Date
2021-12-21
Business Address
RONNY KEITH GORDON APRN
13509 N MERIDIAN AVE
OKLAHOMA CITY, OK 73120-8397
Phone number: 405-937-7422
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Mailing Address
RONNY KEITH GORDON APRN
475 GRIGSBY ST
NEWCASTLE, OK 73065-5950
Phone number: 405-361-9614
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