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1104234699
JORDAN A ISAAC
MEMPHIS, TN
NPI
1104234699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 164013)
Enumeration Date
2014-07-28
Last Update Date
2014-07-28
Business Address
-- JORDAN A ISAAC CRNA
1755 KIRBY PKWY STE 330
MEMPHIS, TN 38120-4398
Phone number: 901-725-5846
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Mailing Address
-- JORDAN A ISAAC CRNA
PO BOX 171306
MEMPHIS, TN 38187-1306
Phone number: 800-809-2106
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