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1457824393
MIRANDA LYALLS JORDAN
JEFFERSON, NC
NPI
1457824393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NC 5011326)
Enumeration Date
2019-01-03
Last Update Date
2019-01-03
Business Address
MRS. MIRANDA LYALLS JORDAN FNP
310 HOSPITAL AVE
JEFFERSON, NC 28640
Phone number: 336-846-6322
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Mailing Address
MRS. MIRANDA LYALLS JORDAN FNP
266 WITHERSPOON HEIGHTS RD
JEFFERSON, NC 28640-9043
Phone number: 336-977-9724
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