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1396418596
JORDAN ROSE
MOBILE, AL
NPI
1396418596
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Former Name
JORDAN DOUCET
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL 2141)
Enumeration Date
2021-07-26
Last Update Date
2024-10-22
Business Address
JORDAN ROSE
4682 AIRPORT BLVD
MOBILE, AL 36608-3124
Phone number: 251-455-4702
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Mailing Address
JORDAN ROSE
106 GOLMON CIR
DAPHNE, AL 36526-7050
Phone number:
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