ANTHONY DESHAWN GORDON

OKLAHOMA CITY, OK
NPI1952731184
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-11-25
Last Update Date2013-11-25
Business Address
Mr. ANTHONY DESHAWN GORDON
5205 NW 111TH ST
OKLAHOMA CITY, OK 73162-5908
Phone number: 405-822-0079
Mailing Address
Mr. ANTHONY DESHAWN GORDON
5205 NW 111TH ST
OKLAHOMA CITY, OK 73162-5908
Phone number: 405-822-0079