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1447669130
TIMOTHY GORDON
FORT CAMPBELL, KY
NPI
1447669130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS52337)
Enumeration Date
2014-08-06
Last Update Date
2019-02-20
Business Address
TIMOTHY GORDON
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8072
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Mailing Address
TIMOTHY GORDON
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8072
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