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1245358647
EDDIE JEROME JORDAN
LONG BEACH, CA
NPI
1245358647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Mr. EDDIE JEROME JORDAN
4343 ATLANTIC AVE
LONG BEACH, CA 90807-2803
Phone number: 562-427-6860
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Mailing Address
Mr. EDDIE JEROME JORDAN
4343 ATLANTIC AVE
LONG BEACH, CA 90807-2803
Phone number: 562-427-6860
Copy
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