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Jessica Gordon
NPI 1518359736 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4703 Highwood Dr
Fort Wayne, IN 46815 - Phone
- (260) 797-3604
Registry record
- Primary taxonomy
- 347C00000X
347C00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-25
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 Indiana