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1740653559
GORDON MESA
CHICAGO, IL
NPI
1740653559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 277000201)
Enumeration Date
2015-11-03
Last Update Date
2022-04-19
Business Address
GORDON MESA DNP, FNP-BC
3134 N CLARK ST
CHICAGO, IL 60657-4414
Phone number: 773-766-1949
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Mailing Address
GORDON MESA DNP, FNP-BC
3134 N CLARK ST
CHICAGO, IL 60657-4414
Phone number: 773-766-1949
Copy
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