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1144898990
JORDAN WILSON
GRAND RAPIDS, MI
NPI
1144898990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601010388)
Enumeration Date
2021-06-16
Last Update Date
2024-11-15
Business Address
JORDAN WILSON PA-C
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Phone number: 616-956-9619
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Mailing Address
JORDAN WILSON PA-C
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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