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1821861782
JORDAN BLAS
FORT LIBERTY, NC
NPI
1821861782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-11-02
Last Update Date
2024-09-12
Business Address
JORDAN BLAS PA
2817 ROCK MERRITT AVENUE
FORT LIBERTY, NC 28310-0001
Phone number: 910-907-8922
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Mailing Address
JORDAN BLAS PA
2817 ROCK MERRITT AVENUE
FORT LIBERTY, NC 28310-0001
Phone number:
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