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1588366306
JORDAN DOUGLAS JEX
LAS VEGAS, NV
NPI
1588366306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-17
Last Update Date
2023-03-17
Business Address
JORDAN DOUGLAS JEX DO
2880 N TENAYA WAY
LAS VEGAS, NV 89128-0618
Phone number: 702-962-9551
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Mailing Address
JORDAN DOUGLAS JEX DO
2697 SAGEBRUSH AVE
IONA, ID 83427-4920
Phone number: 208-932-5691
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