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1760417554
MICHAEL JEFFREY GORDON
TACOMA, WA
NPI
1760417554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WA MD00016377)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
-- MICHAEL JEFFREY GORDON
1717 S J ST
TACOMA, WA 98405-4933
Phone number: 253-627-4930
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Mailing Address
-- MICHAEL JEFFREY GORDON
705 SHORELAND DR SE
BELLEVUE, WA 98004-6742
Phone number:
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