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1972092260
CASEY GORDON
GALLUP, NM
NPI
1972092260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WE0003X Registered Nurse Emergency
(Licence: FL 9210217)
Enumeration Date
2018-05-02
Last Update Date
2018-05-02
Business Address
CASEY GORDON
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
CASEY GORDON
3652 DAVIE BLVD
FT LAUDERDALE, FL 33312-3440
Phone number:
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