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1235967266
JORDEN GENTRY
SPRINGFIELD, IL
NPI
1235967266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.010835)
Enumeration Date
2024-07-22
Last Update Date
2024-09-24
Business Address
JORDEN GENTRY PA-C
3220 ATLANTA ST STE 100
SPRINGFIELD, IL 62707-8801
Phone number: 217-545-4968
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Mailing Address
JORDEN GENTRY PA-C
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-8000
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