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1467192898
JORDAN SHIVE
DALLAS, TX
NPI
1467192898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-01
Last Update Date
2023-09-03
Business Address
JORDAN SHIVE MD
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-629-9305
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Mailing Address
JORDAN SHIVE MD
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number:
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