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Individual

JORDAN O'BANION CAGLAYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AA

Contact information

Practice address
2000 DAN PROCTOR DR, SAINT MARYS, GA 31558-3810
(912) 576-6140
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(800) 516-5315

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary

Other

Enumeration date
10/19/2012
Last updated
02/02/2016
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