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1154908978
JORDY ROQUE
BIRMINGHAM, AL
NPI
1154908978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-26
Last Update Date
2021-03-26
Business Address
JORDY ROQUE
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-638-9100
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Mailing Address
JORDY ROQUE
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number:
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