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1518425016
MOLLY ELLEN RUSH JORDAN
DURHAM, NC
NPI
1518425016
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Former Name
MOLLY ELLEN RUSH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 101998)
Enumeration Date
2019-03-04
Last Update Date
2024-05-08
Business Address
MOLLY ELLEN RUSH JORDAN Physician Assistant
1301 FAYETTEVILLE ST
DURHAM, NC 27707-2398
Phone number: 919-956-4000
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Mailing Address
MOLLY ELLEN RUSH JORDAN Physician Assistant
17 GREAT OAK CT
DURHAM, NC 27713-8906
Phone number: 336-484-1395
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