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1356199913
JORDAN IBRAHIM CUSICK
SEATTLE, WA
NPI
1356199913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: WA RN61004355)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
JORDAN IBRAHIM CUSICK
1550 N 115TH ST
SEATTLE, WA 98133-8401
Phone number: 877-694-4677
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Mailing Address
JORDAN IBRAHIM CUSICK
425 23RD AVE S APT A507
SEATTLE, WA 98144-7531
Phone number: 626-993-4988
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