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1518014794
JODY LEA JORDAN
ALBUQUERQUE, NM
NPI
1518014794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NM 2006-0632)
Enumeration Date
2007-01-03
Last Update Date
2007-07-16
Business Address
Dr. JODY LEA JORDAN MD
1001 COAL AVE SE
ALBUQUERQUE, NM 87106-5205
Phone number: 505-938-5858
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Mailing Address
Dr. JODY LEA JORDAN MD
1001 COAL AVE SE
ALBUQUERQUE, NM 87106-5205
Phone number: 505-938-5858
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