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1164980801
JORDAN MOORE
HAMMOND, LA
NPI
1164980801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
JORDAN MOORE
800 GALLOWAY DRIVE
HAMMOND, LA 70402-0001
Phone number: 985-549-2253
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Mailing Address
JORDAN MOORE
2139 POWERBROOK DR
BATON ROUGE, LA 70816-2972
Phone number:
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