JORDAN LAWRENCE

NELLIS AFB, NV
NPI1255560462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-07-09
Last Update Date2009-07-23
Business Address
Mr. JORDAN LAWRENCE IDMT
1579 MALMSTROM AVENUE
NELLIS AFB, NV 89191
Phone number: 702-652-1542
Mailing Address
Mr. JORDAN LAWRENCE IDMT
1579 MALMSTROM AVENUE
NELLIS AFB, NV 89191
Phone number: 702-652-1542
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