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1235697301
TYLER JORDAN ISRAEL
OWENSBORO, KY
NPI
1235697301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY TC200)
Enumeration Date
2019-03-07
Last Update Date
2022-06-20
Business Address
TYLER JORDAN ISRAEL
1200 BRECKENRIDGE ST
OWENSBORO, KY 42303-1089
Phone number: 270-683-8672
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Mailing Address
TYLER JORDAN ISRAEL
13120 SW 92ND AVE PH 19
MIAMI, FL 33176-8707
Phone number: 270-313-7347
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