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1316531544
MARY A JORDAN
SHREVEPORT, LA
NPI
1316531544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-02-28
Last Update Date
2021-02-28
Business Address
MARY A JORDAN
228 E JORDAN ST
SHREVEPORT, LA 71101-5108
Phone number: 318-493-9017
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Mailing Address
MARY A JORDAN
3156 LAKESHORE DR
SHREVEPORT, LA 71109-2212
Phone number: 318-834-9858
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