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1679168900
GORDON C FORDYCE
LOS ANGELES, CA
NPI
1679168900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 22175)
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
GORDON C FORDYCE OTR/L
620 S VIRGIL AVE PH 11
LOS ANGELES, CA 90005-4097
Phone number: 732-284-1247
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Mailing Address
GORDON C FORDYCE OTR/L
620 S VIRGIL AVE PH 11
LOS ANGELES, CA 90005-4097
Phone number: 732-284-1247
Copy
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