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1366202285
MELISSA JORDAN
PHOENIX, AZ
NPI
1366202285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ 279187)
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
MELISSA JORDAN LPN
3228 E GRANADA RD
PHOENIX, AZ 85008-3830
Phone number: 623-312-7824
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Mailing Address
MELISSA JORDAN LPN
3228 E GRANADA RD
PHOENIX, AZ 85008-3830
Phone number: 623-312-7824
Copy
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