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1174985964
JONATHAN NOAH JORDAHL
SHIPROCK, NM
NPI
1174985964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: UT 10394586-1205)
Enumeration Date
2016-03-22
Last Update Date
2019-07-26
Business Address
Dr. JONATHAN NOAH JORDAHL MD
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6001
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Mailing Address
Dr. JONATHAN NOAH JORDAHL MD
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6001
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