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1881271286
JORDAN M DE LISLE
EVERETT, WA
NPI
1881271286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA OP61570577)
Enumeration Date
2021-03-24
Last Update Date
2024-11-13
Business Address
JORDAN M DE LISLE
1321 COLBY AVE STE B400
EVERETT, WA 98201-1665
Phone number: 425-297-5234
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Mailing Address
JORDAN M DE LISLE
1321 COLBY AVE STE B400
EVERETT, WA 98201-1665
Phone number:
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