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1689693921
TANYA M GORDER
GREEN BAY, WI
NPI
1689693921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 2776)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- TANYA M GORDER OD
1821 S WEBSTER AVE
GREEN BAY, WI 54301-2253
Phone number: 920-496-4700
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Mailing Address
-- TANYA M GORDER OD
PO BOX 19070 PREVEA HEALTH
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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