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1275623357
KRISTA DIANE JORDAN
AUSTIN, TX
NPI
1275623357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 26883)
Enumeration Date
2006-10-13
Last Update Date
2009-04-20
Business Address
Dr. KRISTA DIANE JORDAN PhD
4534 W GATE BLVD SUITE 112
AUSTIN, TX 78745-1485
Phone number: 512-439-7360
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Mailing Address
Dr. KRISTA DIANE JORDAN PhD
4534 W GATE BLVD SUITE 112
AUSTIN, TX 78745-1485
Phone number: 512-439-7360
Copy
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