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1609499763
JORDAN AGNEW
LONG BEACH, CA
NPI
1609499763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 61716)
Enumeration Date
2020-05-24
Last Update Date
2023-11-06
Business Address
Miss JORDAN AGNEW PA-C
1627 E ANAHEIM ST
LONG BEACH, CA 90813-3809
Phone number: 562-218-8181
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Mailing Address
Miss JORDAN AGNEW PA-C
2042 PETALUMA AVE
LONG BEACH, CA 90815-3529
Phone number: 562-209-0012
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