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1053016014
JORDAN ROSE BEAR
KAILUA KONA, HI
NPI
1053016014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
JORDAN ROSE BEAR
77-6425 SEA VIEW CIRCLE
KAILUA KONA, HI 96740
Phone number: 808-796-6893
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Mailing Address
JORDAN ROSE BEAR
75-5660 KOPIKO ST STE C7 #117
KAILUA KONA, HI 96740
Phone number: 808-796-6893
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