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1982062576
SHANE JORDAN
NEW YORK, NY
NPI
1982062576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019466)
Enumeration Date
2016-02-10
Last Update Date
2022-08-16
Business Address
Mr. SHANE JORDAN PA-C
80 MAIDEN LN STE 900
NEW YORK, NY 10038-4811
Phone number: 917-261-4414
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Mailing Address
Mr. SHANE JORDAN PA-C
80 MAIDEN LN STE 900
NEW YORK, NY 10038-4811
Phone number: 917-261-4414
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