DASHIELL JORDAN

LEWISTON, ME
NPI1053632901
Former NameDASHIELL J SLABBERT
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ME  TD171104)
Enumeration Date2010-06-15
Last Update Date2022-07-21
Business Address
-- DASHIELL JORDAN MD
99 CAMPUS AVE STE 201
LEWISTON, ME 04240-6045
Phone number: 207-777-8810
Mailing Address
-- DASHIELL JORDAN MD
PO BOX 1638
ALBANY, NY 12201-1638
Phone number: 207-777-4111
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