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1215425657
JORDON L JEANS
MCCONNELL AFB, KS
NPI
1215425657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
JORDON L JEANS IDMT
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221-3506
Phone number: 651-600-5324
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Mailing Address
JORDON L JEANS IDMT
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221-3506
Phone number:
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