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1205570389
ERIC VAN JORDAN
CHARLESTON, WV
NPI
1205570389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
ERIC VAN JORDAN
2157 GREENBRIER ST
CHARLESTON, WV 25311-9623
Phone number: 304-531-9556
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Mailing Address
ERIC VAN JORDAN
2157 GREENBRIER ST
CHARLESTON, WV 25311-9623
Phone number: 304-531-9556
Copy
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