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1114400611
JORDAN DAVID CARR
WEST PAWLET, VT
NPI
1114400611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VT 055.0031401)
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
JORDAN DAVID CARR PA-C
278 VT 149
WEST PAWLET, VT 05775-9798
Phone number: 802-645-0580
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Mailing Address
JORDAN DAVID CARR PA-C
183 FITZGERALD RD
MIDDLETOWN SPRINGS, VT 05757-4119
Phone number: 802-558-7466
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