JOHNATHAN PAUL GORDON

PRYOR, OK
NPI1760965388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: OK  6386)
Enumeration Date2018-09-10
Last Update Date2020-11-13
Business Address
JOHNATHAN PAUL GORDON
109 N FAIRLAND ST
PRYOR, OK 74361-4203
Phone number: 918-825-1405
Mailing Address
JOHNATHAN PAUL GORDON
109 N FAIRLAND ST
PRYOR, OK 74361-4203
Phone number: 918-825-1405