Individual
PAULETTE L JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
Mailing address
1643 VALLEY PKWY, CLAREMORE, OK 74017-2445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
174073-1
NY
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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