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1710619226
JORDAN LEROY INGERSOLL
OMAHA, NE
NPI
1710619226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NE 7995)
Enumeration Date
2022-06-24
Last Update Date
2024-09-15
Business Address
DR. JORDAN LEROY INGERSOLL DDS
5323 N 134TH AVE
OMAHA, NE 68164-6302
Phone number: 402-492-9303
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Mailing Address
DR. JORDAN LEROY INGERSOLL DDS
5323 N 134TH AVE
OMAHA, NE 68164-6302
Phone number: 402-492-9303
Copy
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