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1720180813
JASON BRENT JORDAN
ASHVILLE, AL
NPI
1720180813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AL 5192)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
-- JASON BRENT JORDAN DMD
279 5TH AVE
ASHVILLE, AL 35953
Phone number: 205-594-5044
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Mailing Address
-- JASON BRENT JORDAN DMD
PO BOX 129
ASHVILLE, AL 35953
Phone number: 205-594-5044
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