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1194350009
JORDAN ANTHONY
MILWAUKEE, WI
NPI
1194350009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
JORDAN ANTHONY
3409 N DOWNER AVE
MILWAUKEE, WI 53211-2934
Phone number: 414-229-3914
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Mailing Address
JORDAN ANTHONY
8927 W HAWTHORNE AVE
MILWAUKEE, WI 53226-4703
Phone number: 920-265-0786
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