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1508488487
EBEN A JORDAN
BANGOR, ME
NPI
1508488487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA2081)
Enumeration Date
2020-05-13
Last Update Date
2021-05-04
Business Address
EBEN A JORDAN PAC
1012 UNION ST
BANGOR, ME 04401-3060
Phone number: 207-404-8100
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Mailing Address
EBEN A JORDAN PAC
PO BOX 1599
BANGOR, ME 04402-1599
Phone number: 207-404-8200
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