DAVID ALAN GORDON

BOLIVAR, MO
NPI1558334771
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  00140)
Enumeration Date2006-02-08
Last Update Date2007-07-08
Business Address
Mr. DAVID ALAN GORDON AT
1500 N OAKLAND AVE
BOLIVAR, MO 65613-3011
Phone number: 417-777-7763
Mailing Address
Mr. DAVID ALAN GORDON AT
3407 S HALL AVE
SPRINGFIELD, MO 65804-4800
Phone number: 417-890-1354
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