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1184628505
KENNETH WAYNE JORDAN
DURHAM, NC
NPI
1184628505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 33260)
Enumeration Date
2005-06-13
Last Update Date
2009-09-01
Business Address
-- KENNETH WAYNE JORDAN MD
2100 ERWIN RD
DURHAM, NC 27705-3941
Phone number: 919-684-8111
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Mailing Address
-- KENNETH WAYNE JORDAN MD
2100 ERWIN RD
DURHAM, NC 27705-3941
Phone number: 919-684-8111
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