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1417636515
JORDAN ANTONIA KING
FAIRBANKS, AK
NPI
1417636515
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Former Name
JORDAN ANTONIA KAREL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-07-14
Last Update Date
2023-07-14
Business Address
JORDAN ANTONIA KING
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700
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Mailing Address
JORDAN ANTONIA KING
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700
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