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1730655796
JORDAN D DIERDORFF
ALLENTOWN, PA
NPI
1730655796
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Former Name
JORDAN GOODWIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA060095)
Enumeration Date
2018-10-17
Last Update Date
2022-10-24
Business Address
JORDAN D DIERDORFF PAC
1251 S CEDAR CREST BLVD STE 202A
ALLENTOWN, PA 18103-6214
Phone number: 610-402-5766
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Mailing Address
JORDAN D DIERDORFF PAC
2100 MACK BLVD FL 4
ALLENTOWN, PA 18103-5622
Phone number: 484-884-0688
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