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1043416480
VERONICA JORDAN
SANTA ROSA, CA
NPI
1043416480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2007-06-22
Last Update Date
2007-07-08
Business Address
-- VERONICA JORDAN MD
3324 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number: 707-576-4070
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Mailing Address
-- VERONICA JORDAN MD
200 BROOKWOOD AVE
SANTA ROSA, CA 95404-5257
Phone number: 415-218-5303
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