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1174540520
JORDAN DE-PAZ
MODESTO, CA
NPI
1174540520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A82325)
Enumeration Date
2006-07-15
Last Update Date
2023-03-07
Business Address
DR. JORDAN DE-PAZ MD
3125 CONANT AVE
MODESTO, CA 95350-6527
Phone number: 209-524-1668
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Mailing Address
DR. JORDAN DE-PAZ MD
3125 CONANT AVE
MODESTO, CA 95350-6527
Phone number: 209-524-1668
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