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1477282994
AUSTIN JORDAN
SELMA, AL
NPI
1477282994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AL D-0007050-C1)
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
AUSTIN JORDAN
2455 MEDICAL CENTER PKWY
SELMA, AL 36701-7756
Phone number: 334-872-0486
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Mailing Address
AUSTIN JORDAN
223 HOOPER DR
SELMA, AL 36701-6524
Phone number: 251-362-4490
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