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1457056004
JORDAN BENJAMIN GAYFIELD
NORFOLK, VA
NPI
1457056004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
JORDAN BENJAMIN GAYFIELD DO
600 GRESHAM DR
NORFOLK, VA 23507-1904
Phone number: 757-388-3551
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Mailing Address
JORDAN BENJAMIN GAYFIELD DO
735 FAIRFAX AVE STE 1017C
NORFOLK, VA 23507-2007
Phone number: 757-388-3397
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