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1457567695
JANNA LEA GORDON
LA CENTER, KY
NPI
1457567695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A01141)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
-- JANNA LEA GORDON PTA
252 WEST 5TH STREET
LA CENTER, KY 42056
Phone number: 270-665-5875
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Mailing Address
-- JANNA LEA GORDON PTA
556 BORDEN RD
WICKLIFFE, KY 42087-9261
Phone number: 270-334-3738
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