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1417284456
DORENE YVONNE JORDAN
CHICAGO, IL
NPI
1417284456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.002868)
Enumeration Date
2009-11-12
Last Update Date
2017-01-10
Business Address
Mrs. DORENE YVONNE JORDAN F.N.P.
5600 W FULLERTON AVE
CHICAGO, IL 60639-2305
Phone number: 224-225-0279
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Mailing Address
Mrs. DORENE YVONNE JORDAN F.N.P.
5600 W FULLERTON AVE
CHICAGO, IL 60639-2305
Phone number: 224-225-0279
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