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1184005159
CONSTANCE RENEE JORDAN
GRAND RAPIDS, MI
NPI
1184005159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MI 4301104546)
Enumeration Date
2015-06-15
Last Update Date
2015-06-15
Business Address
-- CONSTANCE RENEE JORDAN M.D.
330 BARCLAY AVE NE
GRAND RAPIDS, MI 49503-2556
Phone number: 616-391-8810
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Mailing Address
-- CONSTANCE RENEE JORDAN M.D.
330 BARCLAY AVE NE
GRAND RAPIDS, MI 49503-2556
Phone number: 616-391-8810
Copy
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