AVION GORDON

MEDFORD, NY
NPI1639403108
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  286841-1)
Enumeration Date2009-09-30
Last Update Date2009-09-30
Business Address
-- AVION GORDON
127 MAPLE LN
MEDFORD, NY 11763-1027
Phone number: 631-605-1986
Mailing Address
-- AVION GORDON
127 MAPLE LN
MEDFORD, NY 11763-1027
Phone number:
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