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1801824917
WILLIAM JORDAN PHELAN
TALLAHASSEE, FL
NPI
1801824917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA 9103039)
Enumeration Date
2006-06-29
Last Update Date
2007-07-08
Business Address
Mr. WILLIAM JORDAN PHELAN P.A.-C.
VA CLINIC, 1607 ST JAMES COURT
TALLAHASSEE, FL 32308
Phone number: 850-878-0191
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Mailing Address
Mr. WILLIAM JORDAN PHELAN P.A.-C.
9601-20 MICCOSUKEE RD
TALLAHASSEE, FL 32309-9662
Phone number: 850-878-0191
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