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1447788716
SAMUEL JORDAN
LEXINGTON, NC
NPI
1447788716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-05-31
Last Update Date
2018-03-17
Business Address
SAMUEL JORDAN
250 HOSPITAL DR
LEXINGTON, NC 27292-6792
Phone number: 336-248-5161
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Mailing Address
SAMUEL JORDAN
155 ROSEDALE CIR
WINSTON SALEM, NC 27106-4637
Phone number:
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