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Organization
MARSHALL FAMILY PRACTICE CLINIC, PLLC
Active
Organization
MARSHALL FAMILY PRACTICE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY JO JORDAN APN (NURSE PRACTITIONER)
(936) 257-1102
Entity
Organization
Contact information
Practice address
601 S WINFREE ST, DAYTON, TX 77535-2945
(936) 257-1102
(936) 257-1109
Mailing address
601 S WINFREE ST, DAYTON, TX 77535-2945
(936) 257-1102
(936) 257-1109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
509147
TX
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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