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1407958614
SUE-ELLEN JORDAN
HICKORY, NC
NPI
1407958614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 72862)
Enumeration Date
2006-09-01
Last Update Date
2016-05-18
Business Address
-- SUE-ELLEN JORDAN CRNA
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602-9617
Phone number: 828-326-3809
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Mailing Address
-- SUE-ELLEN JORDAN CRNA
146 MEDICAL PARK RD STE 108
MOORESVILLE, NC 28117-8529
Phone number: 704-662-0877
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