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1457972945
PHYLLIS LIZETTA JORDAN
TACOMA, WA
NPI
1457972945
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Professional Name
PHYLLIS JORDAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-05-06
Last Update Date
2020-05-06
Business Address
MS. PHYLLIS LIZETTA JORDAN MHP
721 FAWCETT AVE STE 101721S
TACOMA, WA 98402-5502
Phone number: 253-207-4312
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Mailing Address
MS. PHYLLIS LIZETTA JORDAN MHP
721 FAWCETT AVE STE 101
TACOMA, WA 98402-5502
Phone number: 253-207-4312
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