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1245438449
DONNA JORDAN
TAMPA, FL
NPI
1245438449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: FL AL 1993)
Enumeration Date
2007-07-10
Last Update Date
2007-07-10
Business Address
Ms. DONNA JORDAN ATC/LAT
4202 E FOWLER AVE
TAMPA, FL 33620-9951
Phone number: 813-974-4140
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Mailing Address
Ms. DONNA JORDAN ATC/LAT
4202 E FOWLER AVE
TAMPA, FL 33620-9951
Phone number: 813-974-4140
Copy
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