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1053071027
JORDAN DAVID COUCEYRO
ATLANTA, GA
NPI
1053071027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-12-17
Last Update Date
2021-12-17
Business Address
JORDAN DAVID COUCEYRO
100 WOODRUFF CIR NE
ATLANTA, GA 30322-1020
Phone number: 404-727-5655
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Mailing Address
JORDAN DAVID COUCEYRO
100 WOODRUFF CIR NE
ATLANTA, GA 30322-1020
Phone number:
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