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1316693047
TIFFANY RAE JORDAN
KENNESAW, GA
NPI
1316693047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN240185)
Enumeration Date
2022-02-22
Last Update Date
2022-02-22
Business Address
TIFFANY RAE JORDAN NP
270 CHASTAIN RD NW
KENNESAW, GA 30144-3012
Phone number: 770-421-8005
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Mailing Address
TIFFANY RAE JORDAN NP
270 CHASTAIN RD NW
KENNESAW, GA 30144-3012
Phone number: 770-421-8005
Copy
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