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1114218039
MESSALINA CHARISSE JORDAN
ALBERTVILLE, AL
NPI
1114218039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL DO1305)
Enumeration Date
2011-04-26
Last Update Date
2020-12-23
Business Address
MESSALINA CHARISSE JORDAN D.O.
3520 US HIGHWAY 431 STE 100
ALBERTVILLE, AL 35950-0082
Phone number: 256-849-0500
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Mailing Address
MESSALINA CHARISSE JORDAN D.O.
PO BOX 22
BOAZ, AL 35957-0022
Phone number: 256-849-0500
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