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1184302408
RENWICK LEE JORDAN
BATON ROUGE, LA
NPI
1184302408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
Mr. RENWICK LEE JORDAN
6980 SAINT FRANCIS AVE
BATON ROUGE, LA 70811-1419
Phone number: 225-235-8879
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Mailing Address
Mr. RENWICK LEE JORDAN
6980 SAINT FRANCIS AVE
BATON ROUGE, LA 70811-1419
Phone number: 225-235-8879
Copy
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