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1518359736
JESSICA M GORDON
FORT WAYNE, IN
NPI
1518359736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
(Licence: IN 0501147343)
Enumeration Date
2015-02-25
Last Update Date
2015-02-25
Business Address
Mrs. JESSICA M GORDON
4703 HIGHWOOD DR
FORT WAYNE, IN 46815-6067
Phone number: 260-797-3604
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Mailing Address
Mrs. JESSICA M GORDON
4703 HIGHWOOD DR
FORT WAYNE, IN 46815-6067
Phone number: 260-797-3604
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