SCOTT GORDON

SHAWANO, WI
NPI1487080685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-09-19
Last Update Date2013-09-19
Business Address
SCOTT GORDON
504 LAKELAND RD
SHAWANO, WI 54166-3836
Phone number: 715-526-5547
Mailing Address
SCOTT GORDON
504 LAKELAND RD
SHAWANO, WI 54166-3836
Phone number:
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