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1396448627
JORDAN ROMNEY BENNETT
MEDFORD, OR
NPI
1396448627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA214334)
Enumeration Date
2023-03-24
Last Update Date
2023-05-02
Business Address
Mr. JORDAN ROMNEY BENNETT PA-C
2780 E BARNETT RD STE 200
MEDFORD, OR 97504-8674
Phone number: 541-779-6250
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Mailing Address
Mr. JORDAN ROMNEY BENNETT PA-C
650 WOODLARK DR
MEDFORD, OR 97501-2625
Phone number: 206-306-5107
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