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1881421493
JORDAN DALE BLACK
SAN FRANCISCO, CA
NPI
1881421493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 64942)
Enumeration Date
2024-09-17
Last Update Date
2024-11-20
Business Address
JORDAN DALE BLACK PA
505 PARNASSUS AVE # M917
SAN FRANCISCO, CA 94143-2204
Phone number: 415-353-1116
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Mailing Address
JORDAN DALE BLACK PA
505 PARNASSUS AVE STE M917
SAN FRANCISCO, CA 94143-2204
Phone number: 415-353-1116
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