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1396091716
MELISSA ANNE JORDAN
MISSOULA, MT
NPI
1396091716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MT NUR RN LIC 21177)
Enumeration Date
2012-08-03
Last Update Date
2016-02-18
Business Address
Mrs. MELISSA ANNE JORDAN ANP
500 W BROADWAY ST FL 3
MISSOULA, MT 59802-4008
Phone number: 406-327-1670
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Mailing Address
Mrs. MELISSA ANNE JORDAN ANP
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number:
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