STEPHANIE JO GORDON

MINNEAPOLIS, MN
NPI1750513750
Former NameSTEPHANIE JO NIKLAUS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MN  2009006856)
Enumeration Date2009-08-10
Last Update Date2009-08-10
Business Address
Mrs. STEPHANIE JO GORDON ANP-BC
4310 NICOLLET AVE
MINNEAPOLIS, MN 55409-2033
Phone number: 612-823-8001
Mailing Address
Mrs. STEPHANIE JO GORDON ANP-BC
3443 24TH AVE S
MINNEAPOLIS, MN 55406-2501
Phone number: 612-730-4634
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