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1801414925
ISAIAH JORDAN
CHILLICOTHE, OH
NPI
1801414925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OH OPT.006913)
Enumeration Date
2020-07-07
Last Update Date
2021-05-12
Business Address
ISAIAH JORDAN OD
17273 OH-104
CHILLICOTHE, OH 45601
Phone number: 614-558-1519
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Mailing Address
ISAIAH JORDAN OD
PO BOX 207170
DALLAS, TX 75320-7071
Phone number: 636-200-4393
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