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1558105726
JORDAN DAVID BRYANT
DETROIT, MI
NPI
1558105726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 4704327810)
Enumeration Date
2024-06-22
Last Update Date
2024-06-22
Business Address
JORDAN DAVID BRYANT PMHNP-BC
5555 CONNER ST STE 3
DETROIT, MI 48213-3448
Phone number: 313-344-7730
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Mailing Address
JORDAN DAVID BRYANT PMHNP-BC
18987 PINE CONE DR
MACOMB, MI 48042-4212
Phone number: 586-231-4861
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