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1023414505
JORDAN KERBYSON
GRAND RAPIDS, MI
NPI
1023414505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704280685)
Enumeration Date
2014-11-12
Last Update Date
2014-11-12
Business Address
Mr. JORDAN KERBYSON RN
6437 FORK AVE SW
GRAND RAPIDS, MI 49548-5450
Phone number: 616-427-2994
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Mailing Address
Mr. JORDAN KERBYSON RN
6437 FORK AVE SW
GRAND RAPIDS, MI 49548-5450
Phone number: 616-427-2994
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