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1316827512
SAMUEL JORDAN
DULUTH, MN
NPI
1316827512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2025-09-08
Last Update Date
2025-09-08
Business Address
-- SAMUEL JORDAN
940 WOODLAND AVE
DULUTH, MN 55812-1113
Phone number: 218-723-6081
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Mailing Address
-- SAMUEL JORDAN
940 WOODLAND AVE
DULUTH, MN 55812-1113
Phone number: 218-723-6081
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