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1023362910
JORDAN RILEY JENSEN
PHOENIX, AZ
NPI
1023362910
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Former Name
LANIKA GWYNAE SCEPUREK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 5295)
Enumeration Date
2012-10-31
Last Update Date
2019-11-28
Business Address
JORDAN RILEY JENSEN PA-C
645 E MISSOURI AVE STE 300
PHOENIX, AZ 85012-1351
Phone number: 480-500-2540
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Mailing Address
JORDAN RILEY JENSEN PA-C
645 E MISSOURI AVE STE 300
PHOENIX, AZ 85012-1351
Phone number: 320-360-6191
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