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1013604289
TAMRA CRUMP JORDAN
CHICAGO, IL
NPI
1013604289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
TAMRA CRUMP JORDAN
13057 S ESCANABA AVE
CHICAGO, IL 60633-1708
Phone number: 773-531-3250
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Mailing Address
TAMRA CRUMP JORDAN
13057 S ESCANABA AVE
CHICAGO, IL 60633-1708
Phone number: 773-531-3250
Copy
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