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1487127106
CALOB JORDAN
PORTSMOUTH, OH
NPI
1487127106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-04
Last Update Date
2019-01-04
Business Address
CALOB JORDAN
902 GALLIA ST
PORTSMOUTH, OH 45662-4139
Phone number: 740-529-1944
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Mailing Address
CALOB JORDAN
11307 STATE ROUTE 104
LUCASVILLE, OH 45648-7704
Phone number: 740-727-8086
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