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1467840512
JORDAN FORD
ROYAL OAK, MI
NPI
1467840512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704273468)
Enumeration Date
2014-12-23
Last Update Date
2014-12-23
Business Address
Mr. JORDAN FORD CRNA
610 N ALTADENA AVE
ROYAL OAK, MI 48067-1952
Phone number: 734-502-9311
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Mailing Address
Mr. JORDAN FORD CRNA
610 N ALTADENA AVE
ROYAL OAK, MI 48067-1952
Phone number: 734-502-9311
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