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Organization

JORDAN YOUNG INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI DELBRIDGE (ADMINISTRATOR)
(757) 502-8570
Entity
Organization

Contact information

Practice address
5716 CLEVELAND ST, VIRGINIA BEACH, VA 23462-1784
(757) 490-4802
(757) 961-9767
Mailing address
5716 CLEVELAND ST, VIRGINIA BEACH, VA 23462-1784
(757) 490-4802
(757) 961-9767

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
246ZX2200X
Orthopedic Assistant

Other

Enumeration date
01/08/2015
Last updated
01/08/2015
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