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1790267235
BROOKE TOTTY JORDAN
JASPER, AL
NPI
1790267235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 6565-C1)
Enumeration Date
2018-08-31
Last Update Date
2018-08-31
Business Address
BROOKE TOTTY JORDAN
1206 HIGHWAY 78 E
JASPER, AL 35501-3939
Phone number: 205-221-9190
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Mailing Address
BROOKE TOTTY JORDAN
4250 MARDEN WAY
VESTAVIA, AL 35242-2211
Phone number: 205-515-3404
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