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1033173562
EDMOND R JORDAN
CLEMSON, SC
NPI
1033173562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 11861)
Enumeration Date
2006-04-13
Last Update Date
2018-01-18
Business Address
EDMOND R JORDAN MD
895 TIGER BLVD
CLEMSON, SC 29631-1480
Phone number: 864-654-6800
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Mailing Address
EDMOND R JORDAN MD
885 TIGER BLVD
CLEMSON, SC 29631-1480
Phone number: 864-654-6800
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