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1457966095
CLINTON GORDON
MONROE, LA
NPI
1457966095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 5184)
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
CLINTON GORDON CIT
216 OUACHITA AVE
MONROE, LA 71201-8513
Phone number: 318-322-4770
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Mailing Address
CLINTON GORDON CIT
216 OUACHITA AVE
MONROE, LA 71201-8513
Phone number: 318-322-4770
Copy
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