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1366989030
JORDAN JOSEPH GRANATA
CARLSBAD, CA
NPI
1366989030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-01-19
Last Update Date
2017-01-19
Business Address
-- JORDAN JOSEPH GRANATA
2892 JEFFERSON ST
CARLSBAD, CA 92008-1719
Phone number: 760-434-9500
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Mailing Address
-- JORDAN JOSEPH GRANATA
2892 JEFFERSON ST
CARLSBAD, CA 92008-1719
Phone number: 760-434-9500
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