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1962552661
TARA ANN GORDON
FLAGSTAFF, AZ
NPI
1962552661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 3598)
Enumeration Date
2007-01-12
Last Update Date
2021-05-06
Business Address
Ms. TARA ANN GORDON P.A.
107 E OAK AVE
FLAGSTAFF, AZ 86001-1818
Phone number: 928-779-7880
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Mailing Address
Ms. TARA ANN GORDON P.A.
1200 N BEAVER ST
FLAGSTAFF, AZ 86001-3118
Phone number: 928-213-6235
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