MR. Oscar Gordon JR.

NPI #1497536387 in Lilburn, Georgia

Provider Information

NPI Number: 1497536387
Entity Type: Individual
Name: MR. Oscar Gordon JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 2457 DAKOTA TRL SW
City: Lilburn
State: Georgia
ZIP Code: 30047-5772
Phone: (678) 531-1232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health & Wellness Coach	171400000X
Massage Therapist	225700000X	Primary

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