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Jeremy Gordon
NPI 1417490343 · on the registry since 2016
Practice
- Address
- 1115 Harbor Rd
Grove, OK 74344 - Phone
- (918) 786-4434
- Fax
- (918) 786-4435
- Organisation at this address
- Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 80
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2017-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma