John Shuford Gordon JR. B.A.

NPI 1306988449 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1306988449
Gender Male
Enumeration Date 02/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
242 N VILLA AVE
WILLOWS CA, 95988-2641, US
Phone (530) 865-6459
Fax (530) 865-6483
Business Location
242 N VILLA AVE
WILLOWS CA, 95988-2641, US
Phone (530) 865-6459
Fax (530) 865-6483
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mr. John Shuford Gordon JR. B.A. NPI is 1306988449, taxonomy code is 171M00000X John Shuford Gordon JR. B.A. physically located at 242 N Villa Ave, Willows CA, 95988-2641. NPI Number John Shuford Gordon JR. B.A. has the Individual type.

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1306988449 NPI number is provided on an as is basis without warranty of any kind. 1306988449 is maintained by the National Plan & Provider Enumeration System. The contents of John Shuford Gordon JR. B.A. are for informational purposes only.