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1407549157
LATAYA C JORDAN
TACOMA, WA
NPI
1407549157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-05-30
Last Update Date
2023-05-30
Business Address
LATAYA C JORDAN
1305 TACOMA AVE S
TACOMA, WA 98402-1903
Phone number: 253-375-7993
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Mailing Address
LATAYA C JORDAN
1305 TACOMA AVE S
TACOMA, WA 98402-1903
Phone number: 253-375-7993
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