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Individual
ALEXANDRA LAW JORDAN
Active
Individual
ALEXANDRA LAW JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06971
NC
363A00000X
Physician Assistant
Primary
2670
SC
Other
Enumeration date
01/15/2017
Last updated
04/07/2025
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