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1972205904
LILY KATHHERINE GORDON
SANTA ROSA, CA
NPI
1972205904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
LILY KATHHERINE GORDON
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403-5784
Phone number: 707-583-8800
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Mailing Address
LILY KATHHERINE GORDON
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403-5784
Phone number:
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