Jacquelin Marie Gordon

NPI #1013497593 in Utica, New York

Provider Information

NPI Number
1013497593
Entity Type
Individual
Name
Jacquelin Marie Gordon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Aug 15, 2018
Last Updated
Aug 15, 2018

Practice Location

Address
1400 NOYES ST
City
Utica
ZIP Code
13502-3852
Phone
(315) 738-3800

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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