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1881417442
JORDAN DANIEL CLEVENGER
GAINESVILLE, GA
NPI
1881417442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 1206279)
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
JORDAN DANIEL CLEVENGER PA-C
6114 BLUEWATER BLVD
GAINESVILLE, GA 30506-2560
Phone number: 770-355-7034
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Mailing Address
JORDAN DANIEL CLEVENGER PA-C
6114 BLUEWATER BLVD
GAINESVILLE, GA 30506-2560
Phone number:
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