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1942987755
JORDAN CHARLES SMITH
FALLS CHURCH, VA
NPI
1942987755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-07-03
Last Update Date
2023-09-16
Business Address
JORDAN CHARLES SMITH
8191 STRAWBERRY LN
FALLS CHURCH, VA 22042
Phone number: 703-493-0404
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Mailing Address
JORDAN CHARLES SMITH
8191 STRAWBERRY LN STE 6
FALLS CHURCH, VA 22042-1032
Phone number: 703-493-0404
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