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Individual

JOWELL ORTEGA SEABORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A-C

Contact information

Practice address
13521 OLD HIGHWAY 280 STE 225, BIRMINGHAM, AL 35242-1407
(205) 773-1130
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(469) 893-6580

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1774
AL
363AM0700X
Medical Physician Assistant
PA0004994
CO

Other

Enumeration date
08/23/2006
Last updated
09/08/2023
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