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1598717118
DARRELL KEITH JORDAN
DURHAM, NC
NPI
1598717118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH PT.009570)
Enumeration Date
2006-05-16
Last Update Date
2007-07-08
Business Address
Mr. DARRELL KEITH JORDAN PT
508 FULTON ST DURHAM VAMC - PHYSICAL THERAPY DEPT
DURHAM, NC 27705-3875
Phone number: 919-286-0411
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Mailing Address
Mr. DARRELL KEITH JORDAN PT
427 CROWNE CREST DR
WINSTON SALEM, NC 27106-5071
Phone number: 937-902-7451
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