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1790081701
JORDAN KRISTOFER TAILLON
FORT MYERS, FL
NPI
1790081701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: FL ME128602)
Enumeration Date
2011-02-08
Last Update Date
2021-03-30
Business Address
Dr. JORDAN KRISTOFER TAILLON M.D.
5216 CLAYTON CT
FORT MYERS, FL 33907-2116
Phone number: 239-343-8260
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Mailing Address
Dr. JORDAN KRISTOFER TAILLON M.D.
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-8260
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