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1720753924
GRANT D GORDON
SAN DIEGO, CA
NPI
1720753924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 50071)
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
GRANT D GORDON
15373 INNOVATION DR STE 220
SAN DIEGO, CA 92128-3425
Phone number: 858-592-8855
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Mailing Address
GRANT D GORDON
15373 INNOVATION DR STE 220
SAN DIEGO, CA 92128-3425
Phone number:
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