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1043919186
KIMBERLY SUE JORDAN
GALLIPOLIS, OH
NPI
1043919186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
KIMBERLY SUE JORDAN LDO
2145 EASTERN AVE
GALLIPOLIS, OH 45631-1873
Phone number: 740-441-2151
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Mailing Address
KIMBERLY SUE JORDAN LDO
2145 EASTERN AVE
GALLIPOLIS, OH 45631-1873
Phone number: 740-441-2151
Copy
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