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1568528057
KEVIN OTIS JORDAN
COLUMBUS, OH
NPI
1568528057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OH 35.005063)
Enumeration Date
2006-12-29
Last Update Date
2023-05-20
Business Address
KEVIN OTIS JORDAN MD
5100 W BROAD ST
COLUMBUS, OH 43228-1607
Phone number: 330-493-4443
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Mailing Address
KEVIN OTIS JORDAN MD
PO BOX 7527
DUBLIN, OH 43017-0727
Phone number: 419-520-2495
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