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1124768205
JUSTIN J JORDAN
LINCOLN, NE
NPI
1124768205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
JUSTIN J JORDAN
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-417-5553
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Mailing Address
JUSTIN J JORDAN
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-417-5553
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