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Individual

DR. DONALD ALLEN JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
2325 S HARVARD AVE STE 400, TULSA, OK 74114-3306
(918) 712-3407
(918) 712-3408
Mailing address
1605 E EDGEWATER ST, BROKEN ARROW, OK 74012-7927

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13377
OK
183500000X
Pharmacist
9815
AR

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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