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1942895925
KEVIN DARELLE GORDON
SACRAMENTO, CA
NPI
1942895925
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Professional Name
KEVIN DARELLE GORDON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95015623)
Enumeration Date
2021-03-02
Last Update Date
2021-03-02
Business Address
Mr. KEVIN DARELLE GORDON NP
10385 OLD PLACERVILLE RD
SACRAMENTO, CA 95827-2506
Phone number: 916-448-1770
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Mailing Address
Mr. KEVIN DARELLE GORDON NP
9554 TARBERT DR
ELK GROVE, CA 95758-4478
Phone number: 404-384-0439
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