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1447612825
JASON JORDAN
SHREVEPORT, LA
NPI
1447612825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA 313429)
Enumeration Date
2016-03-24
Last Update Date
2023-01-11
Business Address
JASON JORDAN
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
JASON JORDAN
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287
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