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Individual

JORDAN ELIZABETH GJOLBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
800 CRYSTAL FALLS PKWY UNIT 4, LEANDER, TX 78641-3670
(512) 260-0405
Mailing address
5700 TAPADERA TRACE LN APT 1016, AUSTIN, TX 78727-6317
(512) 942-9191

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9957T
TX

Other

Enumeration date
07/09/2020
Last updated
07/09/2020
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