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1407372287
JORDYN ELIZABETH PENNER
GRAND ISLAND, NE
NPI
1407372287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NE 1016)
Enumeration Date
2017-08-14
Last Update Date
2017-08-14
Business Address
JORDYN ELIZABETH PENNER COTA/L
3119 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4114
Phone number: 308-384-2333
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Mailing Address
JORDYN ELIZABETH PENNER COTA/L
230 E C ST
HASTINGS, NE 68901-6380
Phone number: 308-850-2436
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