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Individual

JORDAN CAMBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2711 W 15TH ST, PANAMA CITY, FL 32401-1366
(850) 769-6001
Mailing address
1121 S BRANNON STAND RD, C 31, DOTHAN, AL 36305-7367

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/02/2016
Last updated
08/02/2016
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