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1265144240
AMBER NICOLE JORDAN
CORBIN, KY
NPI
1265144240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2022-12-21
Last Update Date
2023-01-04
Business Address
AMBER NICOLE JORDAN
10128 S US HIGHWAY 25
CORBIN, KY 40701-4984
Phone number: 606-595-1500
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Mailing Address
AMBER NICOLE JORDAN
PO BOX 2602
CORBIN, KY 40702-2602
Phone number: 606-595-1500
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