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1497493894
KAITLYN JORDAN
BRONX, NY
NPI
1497493894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2022-05-25
Last Update Date
2022-05-25
Business Address
KAITLYN JORDAN PA-C
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-8874
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Mailing Address
KAITLYN JORDAN PA-C
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-8874
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