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Individual

MRS. JORDAN BLANCHARD MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2509 MAPLEWOOD DR, SULPHUR, LA 70663-6105
(337) 624-0341
Mailing address
2509 MAPLEWOOD DR, SULPHUR, LA 70663-6105
(337) 625-0341

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
307200
LA
363A00000X
Physician Assistant
Primary

Other

Enumeration date
07/28/2017
Last updated
02/27/2024
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