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Keeley Ann Gordon
Student in an Organized Health Care Education/Training Program in Pomona, California
NPI 1710762331

Keeley Ann Gordon is a Student in an Organized Health Care Education/Training Program based in Pasadena, CA. Keeley Ann Gordon practices in Pomona, CA. The NPI Number for Keeley Ann Gordon is 1710762331 and holds a License No. (California).

The current practice location address for Keeley Ann Gordon is 1902 Royalty Dr Ste 240, Pomona, CA and can be reached out via phone at 909-865-8355.

Location: 1902 Royalty Dr Ste 240, Pomona, CA, 91105-2711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710762331
Provider Name
Keeley Ann Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1902 Royalty Dr Ste 240, Pomona, CA, 91105-2711
Phone Number
909-865-8355
Fax Number
Provider Enumeration Date
08/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1902 Royalty Dr Ste 240
City
Pomona
State
California
Zip
91767-3061
Phone Number
909-865-8355
Fax Number
person
Provider Business Mailing Address Details
Address
1902 Royalty Dr Ste 240
City
Pomona
State
California
Zip
91767-3061
Phone Number
909-865-8355
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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