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Shaletra Jordan
NPI 1699164285 · on the registry since 2015 · sole proprietor
Practice
- Address
- 412 Overland St
Carthage, TX 75633 - Phone
- (903) 742-0197
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas