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1881398501
ALEX JACOB GORDON
PHILADELPHIA, PA
NPI
1881398501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
ALEX JACOB GORDON
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 914-482-1933
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Mailing Address
ALEX JACOB GORDON
300 E 33RD ST APT 10K
NEW YORK, NY 10016-9413
Phone number: 914-482-1933
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