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Individual
DAMON M JORDAN
Active
Individual
DAMON M JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
130316
IA
363AM0700X
Medical Physician Assistant
130316
IA
363AS0400X
Surgical Physician Assistant
PA458
ME
Other
Enumeration date
10/25/2005
Last updated
05/27/2025
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