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Individual

JORDAN M CHILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
402 BAYARD RD STE 200, KENNETT SQUARE, PA 19348-1862
(484) 770-8132
Mailing address
402 BAYARD RD STE 200, KENNETT SQUARE, PA 19348-1862
(484) 770-8132

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003411
PA

Other

Enumeration date
07/05/2018
Last updated
03/16/2020
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