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1184304511
JORDAN I LYLE
DAYTON, OH
NPI
1184304511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-07-20
Last Update Date
2023-07-20
Business Address
Mr. JORDAN I LYLE
5005 COPELAND AVE
DAYTON, OH 45406-1212
Phone number: 937-329-6119
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Mailing Address
Mr. JORDAN I LYLE
5005 COPELAND AVE
DAYTON, OH 45406-1212
Phone number: 937-329-6119
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