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1447733712
WALTER JEROME JORDAN
ST PETERSBURG, FL
NPI
1447733712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: FL 235565)
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
MR. WALTER JEROME JORDAN
600 40TH ST N APT 111
ST PETERSBURG, FL 33713-6339
Phone number: 727-657-8392
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Mailing Address
MR. WALTER JEROME JORDAN
600 40TH ST N APT 111
ST PETERSBURG, FL 33713-6339
Phone number: 727-657-8392
Copy
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