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1790892644
SCOTT C. VAN GORDER
OSWEGO, NY
NPI
1790892644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 213595)
Enumeration Date
2006-08-24
Last Update Date
2013-05-22
Business Address
-- SCOTT C. VAN GORDER D.O.
10 GEORGE ST
OSWEGO, NY 13126-3276
Phone number: 315-342-0888
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Mailing Address
-- SCOTT C. VAN GORDER D.O.
61 DELANO ST
PULASKI, NY 13142-1400
Phone number: 315-298-6564
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