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1366871477
ANDREW JORDAN
LAKE CHARLES, LA
NPI
1366871477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-11-08
Last Update Date
2013-11-08
Business Address
-- ANDREW JORDAN
1011 LAKE SHORE DR STE 618
LAKE CHARLES, LA 70601-9419
Phone number: 337-564-5394
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Mailing Address
-- ANDREW JORDAN
PO BOX 1281 LAKESHORE DR., SUITE 618
LAKE CHARLES, LA 70602-1281
Phone number:
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