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1073259362
JORDAN E VITELLI
CAMP PENDLETON, CA
NPI
1073259362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA063847)
Enumeration Date
2022-05-09
Last Update Date
2024-09-06
Business Address
JORDAN E VITELLI PA-C
200 MERCY CIRCLE RD
CAMP PENDLETON, CA 92055
Phone number: 760-725-1577
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Mailing Address
JORDAN E VITELLI PA-C
4170 CITY AVE
PHILADELPHIA, PA 19131-1694
Phone number:
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