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1912015272
TERESA J JORDAN
LA CROSSE, WI
NPI
1912015272
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Former Name
TERESA J. BARBY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 1705)
Enumeration Date
2006-08-28
Last Update Date
2022-03-28
Business Address
TERESA J JORDAN PAC
800 WEST AVE S
LA CROSSE, WI 54601
Phone number: 608-785-0940
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Mailing Address
TERESA J JORDAN PAC
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 608-785-0940
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