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1093939654
JEFFREY LAMONT JORDAN
INDIANAPOLIS, IN
NPI
1093939654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12008913)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY LAMONT JORDAN D.D.S
5963 CALAIS COURT 6008 EAST 46TH ST.
INDIANAPOLIS, IN 46220
Phone number: 317-254-5601
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Mailing Address
Dr. JEFFREY LAMONT JORDAN D.D.S
5963 CALAIS COURT 5963 CALAIS COURT
INDIANAPOLIS, IN 46220
Phone number: 317-254-5601
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