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1740509165
BRIAN PHILLIP GLEN GORDON
BUFFALO, NY
NPI
1740509165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
(Licence: NY 607953011)
Enumeration Date
2010-05-25
Last Update Date
2010-05-25
Business Address
Mr. BRIAN PHILLIP GLEN GORDON
29 CAMBRIDGE AVE 29 CAMBRIDGE AVE.
BUFFALO, NY 14215-4001
Phone number: 716-931-9899
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Mailing Address
Mr. BRIAN PHILLIP GLEN GORDON
29 CAMBRIDGE AVE 29 CAMBRIDGE AVE.
BUFFALO, NY 14215-4001
Phone number: 716-931-9899
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