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Bennie Gordon JR.
Licensed Vocational Nurse in Colton, California
NPI 1104097823

Bennie Gordon JR. is a Licensed Vocational Nurse based in Colton, CA. Bennie Gordon JR. practices in Colton, CA. The NPI Number for Bennie Gordon JR. is 1104097823 and holds a License No. 176537 (California).

The current practice location address for Bennie Gordon JR. is 400 N Pepper Ave, Colton, CA and can be reached out via phone at 909-580-1800.

Location: 400 N Pepper Ave, Colton, CA, 92324-1801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104097823
Provider Name
Bennie Gordon JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
400 N Pepper Ave, Colton, CA, 92324-1801
Phone Number
909-580-1800
Fax Number
Provider Enumeration Date
03/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
909-580-1800
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
909-580-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
176537 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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