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1033140249
SHANA JORDAN
LONG BEACH, CA
NPI
1033140249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A076315)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
-- SHANA JORDAN M.D.
1333 CHESTNUT AVE
LONG BEACH, CA 90813-2944
Phone number: 562-599-8601
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Mailing Address
-- SHANA JORDAN M.D.
1000 W CARSON ST N-25; #471
TORRANCE, CA 90502-2004
Phone number: 310-222-3382
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