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1619933553
MITA R GORDO
STOCKTON, CA
NPI
1619933553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A54477)
Enumeration Date
2006-04-20
Last Update Date
2010-06-21
Business Address
-- MITA R GORDO MD
2505 W HAMMER LN
STOCKTON, CA 95209-2839
Phone number: 209-957-7050
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Mailing Address
-- MITA R GORDO MD
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-524-1211
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