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1952600413
KEVIN JORDAN
EVANSVILLE, IN
NPI
1952600413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20042891A)
Enumeration Date
2011-03-23
Last Update Date
2023-03-29
Business Address
KEVIN JORDAN
1800 LINCOLN AVE
EVANSVILLE, IN 47722-1928
Phone number: 812-483-1833
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Mailing Address
KEVIN JORDAN
1800 LINCOLN AVE
EVANSVILLE, IN 47722-1000
Phone number: 812-483-1833
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