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1235111873
TIMOTHY C JORDAN
AUSTIN, TX
NPI
1235111873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 37629)
Enumeration Date
2005-11-18
Last Update Date
2007-11-01
Business Address
TIMOTHY C JORDAN CRNA
3705 MEDICAL PKWY SUITE 570
AUSTIN, TX 78705-1019
Phone number: 512-454-2454
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Mailing Address
TIMOTHY C JORDAN CRNA
3705 MEDICAL PKWY SUITE 570
AUSTIN, TX 78705-1019
Phone number: 512-454-2454
Copy
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