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Bethany Gordon
NPI 1720687833 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2528 Haviland Ct
Mansfield, OH 44903 - Phone
- (419) 565-6575
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Also registered as
- 347C00000X
390200000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-23
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 Ohio