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1184082083
JORDAN FONTES
COLUMBUS, OH
NPI
1184082083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH COA 18633-NP)
Enumeration Date
2016-02-05
Last Update Date
2016-09-07
Business Address
-- JORDAN FONTES NP-C
2800 WEST BROAD ST
COLUMBUS, OH 43204
Phone number: 614-274-4171
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Mailing Address
-- JORDAN FONTES NP-C
5571 VININGBROOK DR
DUBLIN, OH 43016-7162
Phone number: 419-989-7181
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