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1861620122
TYSON JAY JORDAN
TEMPLE, TX
NPI
1861620122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX BP10033757)
Enumeration Date
2009-06-25
Last Update Date
2009-06-25
Business Address
DR. TYSON JAY JORDAN M.D.
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-5815
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Mailing Address
DR. TYSON JAY JORDAN M.D.
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-5815
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