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1851764807
JORDAN M EDELEN
LOUISVILLE, KY
NPI
1851764807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA2072)
Enumeration Date
2015-11-12
Last Update Date
2018-03-20
Business Address
JORDAN M EDELEN PAC
908 DUPONT RD
LOUISVILLE, KY 40207-4602
Phone number: 502-749-7909
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Mailing Address
JORDAN M EDELEN PAC
100 E LIBERTY ST SUITE 800
LOUISVILLE, KY 40202-1434
Phone number: 502-749-7909
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