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1154166932
JORDAN LEA KIRKENDOLL
NEW RICHMOND, WV
NPI
1154166932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C2223)
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
JORDAN LEA KIRKENDOLL COTA/L
236 WARRIOR WAY
NEW RICHMOND, WV 24867
Phone number: 304-294-7584
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Mailing Address
JORDAN LEA KIRKENDOLL COTA/L
PO BOX 864
OCEANA, WV 24870-0864
Phone number: 304-923-9463
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