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1992968804
BRANDON D GORDON
IDAHO FALLS, ID
NPI
1992968804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 6655977-9922)
Enumeration Date
2008-07-10
Last Update Date
2008-07-10
Business Address
-- BRANDON D GORDON DDS
7186 SAGE VIEW CR
IDAHO FALLS, ID 83406
Phone number: 441-687-1481
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Mailing Address
-- BRANDON D GORDON DDS
7186 SAGE VIEW CR
IDAHO FALLS, ID 83406
Phone number: 441-687-1481
Copy
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