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1679717417
LAUREN GORDON
SAINT LOUIS, MO
NPI
1679717417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO 2003017774)
Enumeration Date
2009-04-23
Last Update Date
2020-11-03
Business Address
LAUREN GORDON CPNP
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-577-5666
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Mailing Address
LAUREN GORDON CPNP
3247 GEYER AVE
SAINT LOUIS, MO 63104-1520
Phone number: 314-258-4318
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