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1063925006
ASHLEY JORDAN
LAFAYETTE, LA
NPI
1063925006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: LA 148699)
Enumeration Date
2017-11-13
Last Update Date
2017-11-13
Business Address
ASHLEY JORDAN
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number: 337-504-4279
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Mailing Address
ASHLEY JORDAN
212 BLACK WATER RIVER DR
LAFAYETTE, LA 70508-1723
Phone number:
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