Bethany C Gordon
Bethany C Gordon is a Private Vehicle in Mansfield, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
2528 Haviland CtMansfield, OH 44903-6928
Phone: (419) 565-6575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X (OH) |
|---|---|
| Private Vehicle | Taxonomy 347C00000X (OH) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1720687833 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 20, 2020 |
| Last updated in NPPES | October 23, 2023 |
| Certification date | October 23, 2023 |
| Mailing address | 2528 Haviland Ct, Mansfield, OH 44903-6928 |
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