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1619668514
JORDAN KENNETH SUSAC
OKLAHOMA CITY, OK
NPI
1619668514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 41388)
Enumeration Date
2023-05-19
Last Update Date
2023-05-19
Business Address
Dr. JORDAN KENNETH SUSAC MD
900 NE 10TH ST # 2102
OKLAHOMA CITY, OK 73104-5495
Phone number: 405-271-2230
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Mailing Address
Dr. JORDAN KENNETH SUSAC MD
900 NE 10TH ST # 2102
OKLAHOMA CITY, OK 73104-5420
Phone number: 405-271-2230
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