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Individual
JORDANA BETH PAINE
Active
Individual
JORDANA BETH PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E-15311
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
J3988
TX
Other
Enumeration date
10/23/2007
Last updated
08/18/2022
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