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1760965388
JOHNATHAN PAUL GORDON
PRYOR, OK
NPI
1760965388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OK 6386)
Enumeration Date
2018-09-10
Last Update Date
2020-11-13
Business Address
JOHNATHAN PAUL GORDON
109 N FAIRLAND ST
PRYOR, OK 74361-4203
Phone number: 918-825-1405
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Mailing Address
JOHNATHAN PAUL GORDON
109 N FAIRLAND ST
PRYOR, OK 74361-4203
Phone number: 918-825-1405
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