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1205290350
JORDAN MICHAEL ROUSSEL
BILOXI, MS
NPI
1205290350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: MS 29976)
Enumeration Date
2016-04-05
Last Update Date
2023-01-05
Business Address
JORDAN MICHAEL ROUSSEL MD
14209 COOK RD SUITE 200
BILOXI, MS 39532
Phone number: 228-867-4150
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Mailing Address
JORDAN MICHAEL ROUSSEL MD
PO BOX 1810
GULFPORT, MS 39502
Phone number: 228-575-1194
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