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1538877071
GORDON W HENDRICKSON
LONGVIEW, WA
NPI
1538877071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA61369633)
Enumeration Date
2022-11-14
Last Update Date
2022-11-14
Business Address
GORDON W HENDRICKSON PA
1706 WASHINGTON WAY
LONGVIEW, WA 98632-2952
Phone number: 604-239-5803
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Mailing Address
GORDON W HENDRICKSON PA
PO BOX 1338
LONGVIEW, WA 98632-7785
Phone number: 360-423-0390
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