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1801887799
RANDALL G. JORDAN
DOTHAN, AL
NPI
1801887799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: AL 634)
Enumeration Date
2005-10-31
Last Update Date
2009-03-12
Business Address
-- RANDALL G. JORDAN PsyD
1841 HONEYSUCKLE RD
DOTHAN, AL 36305-4269
Phone number: 334-794-2113
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Mailing Address
-- RANDALL G. JORDAN PsyD
1841 HONEYSUCKLE RD
DOTHAN, AL 36305-4269
Phone number: 334-794-2113
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