JORDAN TYLER DEANGELIS

LEXINGTON, KY
NPI1881273399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-03
Last Update Date2021-04-03
Business Address
Dr. JORDAN TYLER DEANGELIS DO
2195 HARRODSBURG RD
LEXINGTON, KY 40504-3516
Phone number: 859-323-5000
Mailing Address
Dr. JORDAN TYLER DEANGELIS DO
928 E BRENTWOOD DR
MORRISTOWN, TN 37814-1249
Phone number: 423-839-4155
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