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1427745769
JORDAN MINOR
SAN JOSE, CA
NPI
1427745769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
JORDAN MINOR
725 E SANTA CLARA ST STE 103
SAN JOSE, CA 95112-1936
Phone number: 408-457-7100
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Mailing Address
JORDAN MINOR
3942 EMERALD ISLE LN
SAN JOSE, CA 95135-1707
Phone number: 408-710-4340
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