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1992185870
JORDAN CARLOCK
NEWBURGH, IN
NPI
1992185870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 02004884A)
Enumeration Date
2015-06-04
Last Update Date
2022-06-06
Business Address
JORDAN CARLOCK DO
8077 ROSE HILL DR
NEWBURGH, IN 47630-2811
Phone number: 812-853-7363
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Mailing Address
JORDAN CARLOCK DO
8077 ROSE HILL DR
NEWBURGH, IN 47630-2811
Phone number:
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