MICHELLE GORDON

Contractor

Active Individual
NPI: 1174897524

Practice Address

1409 CRAIG BLVD
Edmond, OK 73003

Phone: (405) 248-1155

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1174897524 is the National Provider Identifier for MICHELLE GORDON, a Contractor provider located in Edmond, OK. This NPI was enumerated on March 2, 2012.
MICHELLE GORDON practices at 1409 CRAIG BLVD, Edmond, OK 73003.

Quick Facts

NPI
1174897524
Type
Individual
Enumerated
Mar 2, 2012
Last Updated
Mar 2, 2012

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