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1508155375
LEONARD B GORDON
NORFOLK, VA
NPI
1508155375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2011-04-01
Last Update Date
2011-05-04
Business Address
-- LEONARD B GORDON IDC/SMDR
COMNAVSURFLANT N02M 1430 MITSCHER AVE
NORFOLK, VA 23551-2494
Phone number: 904-718-0427
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Mailing Address
-- LEONARD B GORDON IDC/SMDR
COMNAVSURFLANT N02M 1430 MITSCHER AVE
NORFOLK, VA 23551-2494
Phone number: 904-316-6737
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