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Carolyn Gordon
NPI 1801166780 · on the registry since 2012
Practice
- Address
- 7200 Cedar Lake Rd S
St Louis Park, MN 55426 - Phone
- (952) 252-2502
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-01-09
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 Minnesota