JASON JORDAN

SHREVEPORT, LA
NPI1447612825
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA  313429)
Enumeration Date2016-03-24
Last Update Date2023-01-11
Business Address
JASON JORDAN
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
JASON JORDAN
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287
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