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1265060453
RICHARD DEAN JORDAN
WINSTON SALEM, NC
NPI
1265060453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-01
Last Update Date
2020-04-01
Business Address
Mr. RICHARD DEAN JORDAN
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-4311
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Mailing Address
Mr. RICHARD DEAN JORDAN
603 N CAROLINA AVE
STATESVILLE, NC 28677-3330
Phone number: 704-775-3436
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