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1992782759
JOHANNES HENDRIK JORDAAN
WATERVILLE, ME
NPI
1992782759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ME 015908)
Enumeration Date
2005-12-22
Last Update Date
2014-11-11
Business Address
-- JOHANNES HENDRIK JORDAAN M.D.
149 NORTH ST
WATERVILLE, ME 04901-4974
Phone number: 207-872-1000
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Mailing Address
-- JOHANNES HENDRIK JORDAAN M.D.
PO BOX 1849
LEWISTON, ME 04241-1849
Phone number: 207-784-2554
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