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Individual
RYAN RUSSELL JORDAN
Active
Individual
RYAN RUSSELL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1108064
TX
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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