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1336701911
JORDAN JOSEPH CLARK
FORT RILEY, KS
NPI
1336701911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KS 15-02330)
Enumeration Date
2019-07-03
Last Update Date
2022-10-05
Business Address
JORDAN JOSEPH CLARK PA-C
814 MARSHALL DR
FORT RILEY, KS 66442
Phone number: 785-240-1125
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Mailing Address
JORDAN JOSEPH CLARK PA-C
BLDG 650 HUEBNER RD
FORY RILEY, KS 66442
Phone number:
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