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Individual

JAY CHADWICK JORDAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7772 RIVERSIDE PKWY APT 202L, TULSA, OK 74136-7693
(580) 318-4823
Mailing address
7772 RIVERSIDE PKWY APT 202L, TULSA, OK 74136-7693
(580) 318-4823

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OK

Other

Enumeration date
09/06/2021
Last updated
09/06/2021
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