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1386375525
JORDAN MATHEWS
FORT WAYNE, IN
NPI
1386375525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 11022513A)
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
JORDAN MATHEWS
750 BROADWAY STE 350
FORT WAYNE, IN 46802-1412
Phone number: 260-423-2675
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Mailing Address
JORDAN MATHEWS
750 BROADWAY STE 350
FORT WAYNE, IN 46802-1412
Phone number: 260-423-2675
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