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1972537561
ROGER L JORDAN
GILLETTE, WY
NPI
1972537561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152WC0802X Optometrist, Corneal and Contact Management
(Licence: WY 142-T)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
Dr. ROGER L JORDAN O.D.
609 4J CT
GILLETTE, WY 82716-4135
Phone number: 307-682-2020
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Mailing Address
Dr. ROGER L JORDAN O.D.
609 4J CT
GILLETTE, WY 82716-4135
Phone number: 307-682-2020
Copy
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