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1730143371
DAVID LEE JORDAN
SHREVEPORT, LA
NPI
1730143371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: LA 8931017)
Enumeration Date
2006-04-12
Last Update Date
2013-11-22
Business Address
Dr. DAVID LEE JORDAN OD
2601 JEWELLA
SHREVEPORT, LA 71109
Phone number: 318-631-5511
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Mailing Address
Dr. DAVID LEE JORDAN OD
2601 JEWELLA
SHREVEPORT, LA 71109
Phone number: 318-631-5511
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