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1538669965
ROBERT JAMES GORDON
PROVO, UT
NPI
1538669965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 9903549-3503)
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
ROBERT JAMES GORDON SSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
ROBERT JAMES GORDON SSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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