KELLY JEAN JORDAN

SALEM, OR
NPI1023377819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  6265)
Additional Taxonomies126800000X Dental Assistant
Enumeration Date2012-05-14
Last Update Date2012-09-10
Business Address
Mrs. KELLY JEAN JORDAN EFDA
2300 LANCASTER DR NE
SALEM, OR 97305-1223
Phone number: 503-370-4313
Mailing Address
Mrs. KELLY JEAN JORDAN EFDA
932 DEARBORN AVE N
KEIZER, OR 97303-6326
Phone number: 503-269-1438
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