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Individual

JORDAN DANIEL BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
200 PERIMETER PARK DR STE D, MORRISVILLE, NC 27560-9714
(910) 893-4141
Mailing address
200 PERIMETER PARK DR STE D, MORRISVILLE, NC 27560-9714
(910) 893-4141

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2483
NC

Other

Enumeration date
11/16/2017
Last updated
12/17/2019
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