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1184831042
JOE JORDAN
PHILADELPHIA, MS
NPI
1184831042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MS 1757-77)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- JOE JORDAN D.D.S.
521 CENTER AVE N
PHILADELPHIA, MS 39350-2551
Phone number: 601-656-4732
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Mailing Address
-- JOE JORDAN D.D.S.
521 CENTER AVE N
PHILADELPHIA, MS 39350-2551
Phone number: 601-656-4732
Copy
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