Jacqueline Gale Mcgordon

NPI 1063720787 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1063720787
Gender Female
Enumeration Date 09/15/2010
Last Updated 08/23/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
LAKELAND FL, 33805-4276, US
Phone (863) 688-9776
Fax (863) 688-9776
Business Location
828 W 2ND ST
LAKELAND FL, 33805-4226, US
Phone (863) 688-9776
Fax (863) 688-0675
Taxonomy Code 311ZA0620X
License State Florida
License Number 6906490
Remove 1063720787 NPI Number

According to our database, Ms. Jacqueline Gale Mcgordon NPI is 1063720787, taxonomy code is 311ZA0620X and license number is 6906490, license state is located at Florida. Jacqueline Gale Mcgordon physically located at 1038 N Walker Ave, Lakeland FL, 33805-4276. NPI Number Jacqueline Gale Mcgordon has the Individual type.

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1063720787 NPI number is provided on an as is basis without warranty of any kind. 1063720787 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Gale Mcgordon are for informational purposes only.