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1881451235
JORDAN LANDON LANGE
SPRINGFIELD, MO
NPI
1881451235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MO 2024008286)
Enumeration Date
2024-03-04
Last Update Date
2024-05-01
Business Address
JORDAN LANDON LANGE AGACNP-BC
3801 S NATIONAL AVE STE 1122
SPRINGFIELD, MO 65807-6090
Phone number: 417-269-7728
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Mailing Address
JORDAN LANDON LANGE AGACNP-BC
PO BOX 505673
SAINT LOUIS, MO 63150-5673
Phone number: 417-730-6430
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