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1104421775
JORDAN POPP
MINNEAPOLIS, MN
NPI
1104421775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN 2541)
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
JORDAN POPP CRNA
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone number: 612-365-1000
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Mailing Address
JORDAN POPP CRNA
5612 HUMBOLDT AVE S
MINNEAPOLIS, MN 55419-1632
Phone number: 320-333-4630
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