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Individual
JORDAN HAIRR
Active
Individual
JORDAN HAIRR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MPA.2192 TL
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1997PA
—
SC
Enumeration date
09/22/2014
Last updated
02/13/2015
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