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1356650055
LISA R JORDAN
LIMA, OH
NPI
1356650055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH CNP.11764)
Enumeration Date
2010-09-28
Last Update Date
2018-04-25
Business Address
LISA R JORDAN CNP
1550 N MAIN ST
LIMA, OH 45801-2823
Phone number: 419-516-0327
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Mailing Address
LISA R JORDAN CNP
329 N WEST ST
LIMA, OH 45801-4332
Phone number: 419-221-3072
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