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1649910829
RIVER JAMES JORDAN
DURHAM, NC
NPI
1649910829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-29
Last Update Date
2022-12-06
Business Address
RIVER JAMES JORDAN MD
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-684-3491
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Mailing Address
RIVER JAMES JORDAN MD
PO BOX 110566
DURHAM, NC 27709-5566
Phone number: 919-620-4855
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