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1003974254
ERIC L JORDAN
AUSTIN, TX
NPI
1003974254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: TX 32011479873)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
-- ERIC L JORDAN C.PED
399 WEST LOUIS HENNA BLVD SUITE A
AUSTIN, TX 78728
Phone number: 512-244-9780
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Mailing Address
-- ERIC L JORDAN C.PED
399 WEST LOUIS HENNA BLVD SUITE A
AUSTIN, TX 78728
Phone number: 512-244-9780
Copy
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