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1164112389
EMILY GRACE JORDAN
LADSON, SC
NPI
1164112389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-05-10
Last Update Date
2023-08-25
Business Address
EMILY GRACE JORDAN
3601 LADSON RD
LADSON, SC 29456-4304
Phone number: 843-285-2500
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Mailing Address
EMILY GRACE JORDAN
3601 LADSON RD
LADSON, SC 29456-4304
Phone number: 843-303-7244
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