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1841405743
CHARLES ROBERT GORDON
HURRICANE, WV
NPI
1841405743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
Mr. CHARLES ROBERT GORDON M.S., ATC, C.S.C.S
3910 TEAYS VALLEY RD
HURRICANE, WV 25526-9756
Phone number: 304-757-7293
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Mailing Address
Mr. CHARLES ROBERT GORDON M.S., ATC, C.S.C.S
RR 2 BOX 223-1
RED HOUSE, WV 25168-9663
Phone number: 304-550-3499
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