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1154863702
NICOLE JORDAN
ROCHESTER, NY
NPI
1154863702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 3263971)
Enumeration Date
2016-11-14
Last Update Date
2016-11-14
Business Address
-- NICOLE JORDAN
478 LEXINGTON AVE
ROCHESTER, NY 14613-1943
Phone number: 585-642-7741
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Mailing Address
-- NICOLE JORDAN
478 LEXINGTON AVE
ROCHESTER, NY 14613-1943
Phone number: 585-642-7741
Copy
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