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1700627536
JORDAN CLARK
LOUISVILLE, KY
NPI
1700627536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 11123)
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
JORDAN CLARK DMD
1901 RUDY LN
LOUISVILLE, KY 40207-1270
Phone number: 502-208-1516
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Mailing Address
JORDAN CLARK DMD
319 S BAYLY AVE
LOUISVILLE, KY 40206-2506
Phone number:
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