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1669080214
JORDAN E IMMEL
JEFFERSON CITY, MO
NPI
1669080214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2020022417)
Enumeration Date
2020-07-20
Last Update Date
2020-07-20
Business Address
JORDAN E IMMEL DMD
1511 CHRISTY DR
JEFFERSON CITY, MO 65101-2854
Phone number: 573-632-2777
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Mailing Address
JORDAN E IMMEL DMD
12910 COPPS CHAPEL RD
WOOLDRIDGE, MO 65287-2232
Phone number: 660-537-6612
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