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1730877010
ALEXANDER SCOTT JORDAN
LAKE CHARLES, LA
NPI
1730877010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 335456)
Enumeration Date
2023-04-25
Last Update Date
2024-09-19
Business Address
Mr. ALEXANDER SCOTT JORDAN PA-C
2770 3RD AVE STE 120
LAKE CHARLES, LA 70601-8994
Phone number: 337-494-4868
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Mailing Address
Mr. ALEXANDER SCOTT JORDAN PA-C
PO BOX 122342
DALLAS, TX 75312-2342
Phone number: 337-494-2921
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