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1457598484
DORETT BEVERLY GORDON
BRONX, NY
NPI
1457598484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 294307-1)
Enumeration Date
2009-01-13
Last Update Date
2010-11-29
Business Address
-- DORETT BEVERLY GORDON
50 W GUN HILL RD APT 4G
BRONX, NY 10467-1016
Phone number: 561-568-8687
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Mailing Address
-- DORETT BEVERLY GORDON
PO BOX 1011
BRONX, NY 10467-0726
Phone number: 561-568-8687
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