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1588638092
JEFFREY LAWRENCE JORDAN
LEWISBURG, TN
NPI
1588638092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TN 2156)
Enumeration Date
2006-02-14
Last Update Date
2019-10-01
Business Address
Dr. JEFFREY LAWRENCE JORDAN o.d.
815 E COMMERCE ST
LEWISBURG, TN 37091-3515
Phone number: 931-359-4373
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Mailing Address
Dr. JEFFREY LAWRENCE JORDAN o.d.
815 E COMMERCE ST
LEWISBURG, TN 37091-3515
Phone number: 931-359-4373
Copy
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