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1760713929
JORDAN JAMES VALLESE
BRONX, NY
NPI
1760713929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 013839)
Enumeration Date
2010-01-27
Last Update Date
2010-01-27
Business Address
Mr. JORDAN JAMES VALLESE PA
3424 KOSSUTH AVENUE ROOM 9C - 01
BRONX, NY 10467
Phone number: 718-519-3972
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Mailing Address
Mr. JORDAN JAMES VALLESE PA
3424 KOSSUTH AVE
BRONX, NY 10467-2410
Phone number: 718-519-3972
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