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1538624721
MICHAEL GORDON
MILTON, VT
NPI
1538624721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VT 104.0133908)
Enumeration Date
2019-02-01
Last Update Date
2019-02-01
Business Address
MICHAEL GORDON ATC
184 ROUTE 7 S
MILTON, VT 05468-3602
Phone number: 802-893-7427
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Mailing Address
MICHAEL GORDON ATC
PO BOX 776
MILTON, VT 05468-0776
Phone number: 802-893-7427
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