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1265279475
JORDYN ALEXIS GRANT
ARDMORE, OK
NPI
1265279475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK 219363)
Enumeration Date
2024-07-15
Last Update Date
2024-08-15
Business Address
JORDYN ALEXIS GRANT CRNA
1011 14TH AVE NW
ARDMORE, OK 73401-1828
Phone number: 580-223-5400
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Mailing Address
JORDYN ALEXIS GRANT CRNA
1710 JUNIPER LN
MIDLOTHIAN, TX 76065-9700
Phone number: 214-886-8858
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