CHARLIE GORDON

Driver

NPI: 1457561045Individual

Specialties, Licenses & Credentials

DriverPrimary

Driver

Code: 172A00000X

G635-1107-1325-04(WI)

Contact & Hours

Address: 1000 N 92ND ST
MILWAUKEE, WI 53226
Phone: (414) 479-9400

Quick Facts

NPI: 1457561045
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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