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1396303244
TERRY MARK JORDAN
NORTHPORT, AL
NPI
1396303244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-108733)
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
TERRY MARK JORDAN CRNP
2700 HOSPITAL DR
NORTHPORT, AL 35476-3360
Phone number: 205-333-4565
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Mailing Address
TERRY MARK JORDAN CRNP
9308 TAYLORWOOD DR
TUSCALOOSA, AL 35405-5937
Phone number: 205-349-5501
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