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1063941359
JORDAN ALISE BLAIR
ORANGE, CA
NPI
1063941359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 54902)
Enumeration Date
2017-06-08
Last Update Date
2020-03-31
Business Address
JORDAN ALISE BLAIR
1310 W STEWART DR STE 410
ORANGE, CA 92868-3855
Phone number: 714-538-8549
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Mailing Address
JORDAN ALISE BLAIR
1310 W STEWART DR STE 410
ORANGE, CA 92868-3855
Phone number:
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