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Individual
MESSALINA CHARISSE JORDAN
Active
Individual
MESSALINA CHARISSE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1305
AL
Other
Enumeration date
04/26/2011
Last updated
12/23/2020
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