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1972275055
TIMOTHY MICHAEL GORDON
MILWAUKEE, WI
NPI
1972275055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146L00000X Emergency Medical Technician, Paramedic
(Licence: WI 41348)
Enumeration Date
2021-09-28
Last Update Date
2021-09-28
Business Address
TIMOTHY MICHAEL GORDON EMT- Paramedic
10233 W GREENFIELD AVE
MILWAUKEE, WI 53214-3911
Phone number: 414-727-5750
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Mailing Address
TIMOTHY MICHAEL GORDON EMT- Paramedic
1497 RIVERS EDGE PKWY
OCONOMOWOC, WI 53066-6908
Phone number: 262-490-4854
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