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1215358353
TREMAINE JORDAN
COLUMBUS, GA
NPI
1215358353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: GA 050982144)
Enumeration Date
2013-12-16
Last Update Date
2013-12-16
Business Address
-- TREMAINE JORDAN
2401 BUENA VISTA RD
COLUMBUS, GA 31906-3142
Phone number: 706-323-7244
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Mailing Address
-- TREMAINE JORDAN
2401 BUENA VISTA RD
COLUMBUS, GA 31906-3142
Phone number: 706-323-7244
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