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1902567654
D'METRIUS GORDON
ORLANDO, FL
NPI
1902567654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL6232)
Enumeration Date
2022-01-05
Last Update Date
2022-01-05
Business Address
D'METRIUS GORDON
650 E RIVER FALCONS WAY
ORLANDO, FL 32833-2779
Phone number: 407-956-8550
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Mailing Address
D'METRIUS GORDON
12013 FOUNTAINBROOK BLVD APT 1212
ORLANDO, FL 32825-7044
Phone number: 347-409-6797
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