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1477712479
JORDAN RAY ILSE
BELTON, TX
NPI
1477712479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: TX N8307)
Enumeration Date
2008-06-04
Last Update Date
2017-08-04
Business Address
JORDAN RAY ILSE MD
1300 E. 6TH AVENUE
BELTON, TX 76513-2810
Phone number: 254-778-5400
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Mailing Address
JORDAN RAY ILSE MD
1300 EAST 6TH AVE
BELTON, TX 76513
Phone number: 254-778-5400
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