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1508629890
ISABELLA AGNES GORDON
CHARLESTON, SC
NPI
1508629890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-01-31
Last Update Date
2024-09-15
Business Address
ISABELLA AGNES GORDON
171 ASHLEY AVE
CHARLESTON, SC 29425-7643
Phone number: 843-792-1414
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Mailing Address
ISABELLA AGNES GORDON
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number:
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