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Sara Gordon

NPI 1962692954 · on the registry since 2007

Practice

Address
41945 Big Bear Bovd. Suite222
Big Bear Lake, CA 92315
Phone
(909) 866-5070
Fax
(909) 878-3228

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California