JORDAN ROBERT FENTON

CANTON, NY
NPI1912491374
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  343107)
Enumeration Date2018-06-19
Last Update Date2023-10-11
Business Address
JORDAN ROBERT FENTON FNP-C
25 PARK ST
CANTON, NY 13617-1265
Phone number: 315-379-9158
Mailing Address
JORDAN ROBERT FENTON FNP-C
25 PARK ST
CANTON, NY 13617-1265
Phone number: 315-379-3158
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