JORDAN BACON

KINGSPORT, TN
NPI1982228847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-06-05
Last Update Date2020-06-05
Business Address
JORDAN BACON PA
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-224-4000
Mailing Address
JORDAN BACON PA
139 GREENMEADOW LN
JONESBOROUGH, TN 37659-3815
Phone number:
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