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Individual
MICHELLE CHRISTINE JORDAN
Active
Individual
MICHELLE CHRISTINE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA10364
TEXAS MEDICAL BOARD STATE LICENSE
TX
Enumeration date
02/11/2016
Last updated
04/06/2016
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