SAMUEL GORDON

WACONIA, MN
NPI1710747001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2024-03-21
Last Update Date2026-06-02
Business Address
SAMUEL GORDON
9346 OAK AVE
WACONIA, MN 55387-9422
Phone number: 952-442-5812
Mailing Address
SAMUEL GORDON
1243 EDMONSON AVE NE APT 309
MONTICELLO, MN 55362-5509
Phone number: 919-939-6303