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1104274802
ELISE JORDAN
VISTA, CA
NPI
1104274802
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Former Name
ELISE MANIGUET
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-06-03
Last Update Date
2019-04-18
Business Address
ELISE JORDAN PA-C
910 SYCAMORE AVE STE 270
VISTA, CA 92081-7852
Phone number: 760-598-1776
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Mailing Address
ELISE JORDAN PA-C
FILE NO 749733
LOS ANGELES, CA 90074-9733
Phone number:
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