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1770604209
JEFFREY STEPHEN GORMAN
FRESNO, CA
NPI
1770604209
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Other Name
NONE NONE NONE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 46809)
Enumeration Date
2007-04-02
Last Update Date
2020-11-30
Business Address
DR. JEFFREY STEPHEN GORMAN DMD
2569 W SHAW AVE
FRESNO, CA 93711-3312
Phone number: 559-449-1275
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Mailing Address
DR. JEFFREY STEPHEN GORMAN DMD
2806 W LOCUST AVE
FRESNO, CA 93711-0323
Phone number: 559-439-2491
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