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1114706587
JORDAN GARY JOHNSON
CINCINNATI, OH
NPI
1114706587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
JORDAN GARY JOHNSON
1435 VINE ST
CINCINNATI, OH 45202-7094
Phone number: 618-203-4368
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Mailing Address
JORDAN GARY JOHNSON
1435 VINE ST
CINCINNATI, OH 45202-7094
Phone number: 618-203-4368
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