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1629544812
RAYMOND MARTIN GORDON
FALL RIVER, MA
NPI
1629544812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-16
Last Update Date
2018-10-16
Business Address
RAYMOND MARTIN GORDON
22 FRONT ST
FALL RIVER, MA 02721-4302
Phone number: 508-676-1307
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Mailing Address
RAYMOND MARTIN GORDON
22 FRONT ST
FALL RIVER, MA 02721-4302
Phone number: 508-676-1307
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