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1275237265
JORDAN ANDREW FAILLA
CHARLOTTE, NC
NPI
1275237265
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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
2023-03-27
Last Update Date
2023-03-28
Business Address
JORDAN ANDREW FAILLA DO
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207-2134
Phone number: 704-446-1242
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Mailing Address
JORDAN ANDREW FAILLA DO
7105 BLU RAIL WAY UNIT B
PINEVILLE, NC 28134-6621
Phone number: 678-477-6502
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