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1174937312
LUKE JORDAN
NEW IBERIA, LA
NPI
1174937312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: LA 6491)
Enumeration Date
2014-06-16
Last Update Date
2014-06-16
Business Address
LUKE JORDAN
2217 OLD JEANERETTE RD
NEW IBERIA, LA 70563-8687
Phone number: 337-321-5651
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Mailing Address
LUKE JORDAN
3601 KALISTE SALOOM RD UNIT 107
LAFAYETTE, LA 70508-7633
Phone number: 337-356-6845
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