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1659620003
BRENDA JORDAN
SAINT LOUIS, MO
NPI
1659620003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: MO 2012015093)
Enumeration Date
2012-08-30
Last Update Date
2012-08-30
Business Address
-- BRENDA JORDAN M.D.
660 S EUCLID AVE
SAINT LOUIS, MO 63110-1010
Phone number: 314-362-1935
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Mailing Address
-- BRENDA JORDAN M.D.
660 S EUCLID AVE
SAINT LOUIS, MO 63110-1010
Phone number:
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