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1366939704
JORDAN NYALL LEACH
SEARCY, AR
NPI
1366939704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OK 7413)
Enumeration Date
2018-04-20
Last Update Date
2023-06-09
Business Address
Dr. JORDAN NYALL LEACH DO
3214 E RACE AVE
SEARCY, AR 72143-4810
Phone number: 435-421-1359
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Mailing Address
Dr. JORDAN NYALL LEACH DO
3401 W GORE BLVD
LAWTON, OK 73505-6332
Phone number: 580-355-8620
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