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1942939392
JORDANN ELIZABETH DEACON
CHARLOTTE, NC
NPI
1942939392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: NC 0010-12912)
Enumeration Date
2022-06-09
Last Update Date
2023-09-27
Business Address
JORDANN ELIZABETH DEACON PA-C
2630 E 7TH ST STE 200
CHARLOTTE, NC 28204-4319
Phone number: 704-364-6110
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Mailing Address
JORDANN ELIZABETH DEACON PA-C
2630 E 7TH ST STE 200
CHARLOTTE, NC 28204-4319
Phone number: 704-364-6110
Copy
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