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1033289012
SUSAN MARY JORDAN
ANACORTES, WA
NPI
1033289012
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Former Name
SUE M MCTAGUE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10005226)
Enumeration Date
2006-11-08
Last Update Date
2019-04-18
Business Address
SUSAN MARY JORDAN PAC
2511 M AVE SUITE B
ANACORTES, WA 98221-3897
Phone number: 360-299-4211
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Mailing Address
SUSAN MARY JORDAN PAC
1211 24TH ST
ANACORTES, WA 98221-2562
Phone number: 360-293-3101
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