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1043757784
JORDAN BASS WALD
VESTAVIA HILLS, AL
NPI
1043757784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AL 1-135908)
Enumeration Date
2017-01-19
Last Update Date
2021-01-23
Business Address
JORDAN BASS WALD CRNP
1575 MONTGOMERY HWY
VESTAVIA HILLS, AL 35216-4510
Phone number: 205-822-1150
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Mailing Address
JORDAN BASS WALD CRNP
1575 MONTGOMERY HWY
VESTAVIA HILLS, AL 35216-4510
Phone number: 205-822-1150
Copy
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