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1609539436
TAMMY VAN GORDER
FAIRPORT, NY
NPI
1609539436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2021-10-19
Last Update Date
2021-10-19
Business Address
TAMMY VAN GORDER
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450-1163
Phone number: 585-377-0350
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Mailing Address
TAMMY VAN GORDER
5 VANDERBERG DR
FAIRPORT, NY 14450-8427
Phone number: 315-783-7896
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