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1053911156
JORDAN CHARLES TEMPLETON
PHILADELPHIA, PA
NPI
1053911156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: PA MA061977)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
JORDAN CHARLES TEMPLETON
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4274
Phone number: 215-316-5151
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Mailing Address
JORDAN CHARLES TEMPLETON
2039 SAINT ALBANS ST
PHILADELPHIA, PA 19146-1334
Phone number: 610-737-6228
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