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Individual

DARRYL JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QBHP

Contact information

Practice address
1704 HIGHWAY 69 BLVD, TRUMANN, AR 72472-2029
(780) 483-4003
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72405-7870
(870) 206-9460

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AR

Other

Enumeration date
09/20/2021
Last updated
09/20/2021
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