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1427366160
STEPHANIA BLAKLEY JORDAN
WILMINGTON, NC
NPI
1427366160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5004838)
Enumeration Date
2010-09-15
Last Update Date
2013-10-09
Business Address
-- STEPHANIA BLAKLEY JORDAN FNP
5617 MAXWELL PL
WILMINGTON, NC 28409-2966
Phone number: 910-742-9243
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Mailing Address
-- STEPHANIA BLAKLEY JORDAN FNP
PO BOX 16310
WILMINGTON, NC 28408-6310
Phone number: 910-742-9243
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