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1336343318
IVY JUSTINE JORDAN
CANTON, OH
NPI
1336343318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN 106915)
Enumeration Date
2007-06-13
Last Update Date
2011-01-11
Business Address
Ms. IVY JUSTINE JORDAN L.P.N.
105 WERTZ AVE NW APT 7
CANTON, OH 44708-4100
Phone number: 330-452-1539
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Mailing Address
Ms. IVY JUSTINE JORDAN L.P.N.
105 WERTZ AVE NW APT 7
CANTON, OH 44708-4100
Phone number: 330-452-1539
Copy
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