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1023464609
JORDAN SMITH
MOSES LAKE, WA
NPI
1023464609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: WA OP61146174)
Enumeration Date
2016-05-12
Last Update Date
2021-08-31
Business Address
JORDAN SMITH D.O.
1550 S PIONEER WAY
MOSES LAKE, WA 98837-4613
Phone number: 509-793-9792
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Mailing Address
JORDAN SMITH D.O.
660 S COOLIDGE ST
MOSES LAKE, WA 98837-1872
Phone number: 509-793-9715
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