JORDAN BRYAN LANE

KIRKSVILLE, MO
NPI1639758006
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: MO  2022025223)
Enumeration Date2021-04-05
Last Update Date2022-08-08
Business Address
JORDAN BRYAN LANE DO
315 S OSTEOPATHY AVE
KIRKSVILLE, MO 63501-6401
Phone number: 660-785-1000
Mailing Address
JORDAN BRYAN LANE DO
315 S OSTEOPATHY AVE
KIRKSVILLE, MO 63501-6401
Phone number: 660-785-1000
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