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1407518046
KENDRA CAROLINE JORDAN
JAMAICA, NY
NPI
1407518046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2021-10-11
Last Update Date
2021-10-11
Business Address
KENDRA CAROLINE JORDAN
14815 LOWE CT APT 3C
JAMAICA, NY 11435-4052
Phone number: 347-761-9718
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Mailing Address
KENDRA CAROLINE JORDAN
14815 LOWE CT APT 3C
JAMAICA, NY 11435-4052
Phone number: 347-761-9718
Copy
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