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1649986134
RYAN RUSSELL JORDAN
DALLAS, TX
NPI
1649986134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 1108064)
Enumeration Date
2023-01-27
Last Update Date
2023-01-27
Business Address
RYAN RUSSELL JORDAN CRNA
12222 MERIT DR STE 600
DALLAS, TX 75251-3294
Phone number: 972-715-5000
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Mailing Address
RYAN RUSSELL JORDAN CRNA
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-233-1999
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