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1487197133
JORDAN ADAMS
MARIETTA, GA
NPI
1487197133
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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
2016-11-29
Last Update Date
2016-11-29
Business Address
-- JORDAN ADAMS
1260 CHANNEL PARK SW
MARIETTA, GA 30064-3823
Phone number: 404-759-4314
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Mailing Address
-- JORDAN ADAMS
1260 CHANNEL PARK SW
MARIETTA, GA 30064-3823
Phone number: 404-759-4314
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