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1598109811
JENNIFER LEE GORDON
CAMP LEJEUNE, NC
NPI
1598109811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: TN 57540)
Additional Taxonomies
171000000X Military Health Care Provider
Enumeration Date
2013-04-18
Last Update Date
2022-05-13
Business Address
JENNIFER LEE GORDON MD
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Phone number: 910-449-2778
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Mailing Address
JENNIFER LEE GORDON MD
NMRTC OKINAWA, PSC 482, FPO AP 96362
FPO, AP 96362
Phone number:
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