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1427095942
THEODORE R. JORDAN
COLUMBUS, OH
NPI
1427095942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: OH 34-00-5892)
Enumeration Date
2006-06-01
Last Update Date
2007-07-08
Business Address
-- THEODORE R. JORDAN D.O.
5131 BEACON HILL RD SUITE 200A
COLUMBUS, OH 43228-4442
Phone number: 614-878-8034
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Mailing Address
-- THEODORE R. JORDAN D.O.
200 BRADENTON AVE
DUBLIN, OH 43017-7515
Phone number: 614-793-1980
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