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1245972322
JORDAN DETRICK
WASHINGTON, DC
NPI
1245972322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-10
Last Update Date
2022-04-10
Business Address
JORDAN DETRICK MD
900 23RD ST NW
WASHINGTON, DC 20037-2342
Phone number: 847-840-4096
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Mailing Address
JORDAN DETRICK MD
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037-3201
Phone number: 202-741-3000
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