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1477988632
JERRY WAYNE GORDON
BIRMINGHAM, AL
NPI
1477988632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AL 1-141671)
Enumeration Date
2013-09-06
Last Update Date
2013-09-06
Business Address
Mr. JERRY WAYNE GORDON RN
2868 ACTON ROAD
BIRMINGHAM, AL 35243-2502
Phone number: 205-968-8360
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Mailing Address
Mr. JERRY WAYNE GORDON RN
2868 ACTON ROAD
BIRMINGHAM, AL 35243-2502
Phone number: 205-968-8360
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