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1598002776
JACOB I JORDAN
WICHITA FALLS, TX
NPI
1598002776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 758186)
Enumeration Date
2013-01-09
Last Update Date
2024-07-02
Business Address
JACOB I JORDAN CRNA
501 MIDWESTERN PKWY E
WICHITA FALLS, TX 76302-2302
Phone number: 940-766-8807
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Mailing Address
JACOB I JORDAN CRNA
501 MIDWESTERN PKWY E
WICHITA FALLS, TX 76302-2302
Phone number: 940-766-8807
Copy
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