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1659487601
JODIE LYDELL GORDON
KIRKSVILLE, MO
NPI
1659487601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 014930)
Enumeration Date
2006-08-22
Last Update Date
2023-06-29
Business Address
Dr. JODIE LYDELL GORDON D.D.S.
1525 N NEW ST
KIRKSVILLE, MO 63501-2472
Phone number: 660-665-7908
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Mailing Address
Dr. JODIE LYDELL GORDON D.D.S.
1525 N NEW ST
KIRKSVILLE, MO 63501-2472
Phone number: 660-665-7908
Copy
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