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1346944238
JORDAN AUSTIN GEORGE
BIRMINGHAM, AL
NPI
1346944238
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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
2023-03-27
Business Address
JORDAN AUSTIN GEORGE
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 256-934-7170
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Mailing Address
JORDAN AUSTIN GEORGE
139 GLENVIEW DR
BIRMINGHAM, AL 35213-3836
Phone number: 256-682-7737
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