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1649529025
CARLENE GORDON
FREDERICKSBURG, VA
NPI
1649529025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024170186)
Enumeration Date
2012-08-31
Last Update Date
2019-05-24
Business Address
Mrs. CARLENE GORDON
125 OLDE GREENWICH DRIVE SUITE 220
FREDERICKSBURG, VA 22408-4010
Phone number: 540-898-8001
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Mailing Address
Mrs. CARLENE GORDON
121 COURTHOUSE LN
BOWLING GREEN, VA 22427-9336
Phone number: 804-633-5840
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