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Individual
ANTHONY EUGENE JORDAN
Active
Individual
ANTHONY EUGENE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
3854
CA
2251G0304X
Geriatric Physical Therapist
—
NULL
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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