CHARLES JERMAINE JORDAN

FORT RUCKER, AL
NPI1386168334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy146N00000X Emergency Medical Technician, Basic
(Licence: TX  E1485589)
Enumeration Date2017-08-01
Last Update Date2022-07-21
Business Address
CHARLES JERMAINE JORDAN Nremt
LYSTER ARMY HEALTH CLINIC BUILDING 301, ANDREWS AVENUE
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7603
Mailing Address
CHARLES JERMAINE JORDAN Nremt
LYSTER ARMY HEALTH CLINIC BUILDING 301, ANDREWS AVENUE
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7603
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