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1790885341
GLEN S. JORDAN
HUNTINGTON, WV
NPI
1790885341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WV 01222)
Enumeration Date
2006-09-24
Last Update Date
2021-04-13
Business Address
Mr. GLEN S. JORDAN PA-C
1340 HAL GREER BLVD
HUNTINGTON, WV 25701-3804
Phone number: 304-399-6727
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Mailing Address
Mr. GLEN S. JORDAN PA-C
1340 HAL GREER BLVD
HUNTINGTON, WV 25701-3804
Phone number: 304-399-6727
Copy
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