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1497032650
DEKEISHA DENISE JORDAN
SYRACUSE, NY
NPI
1497032650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 281679)
Enumeration Date
2011-11-15
Last Update Date
2011-11-15
Business Address
-- DEKEISHA DENISE JORDAN LPN
209 HUBBELL AVE
SYRACUSE, NY 13207-1314
Phone number: 315-876-7873
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Mailing Address
-- DEKEISHA DENISE JORDAN LPN
209 HUBBELL AVE
SYRACUSE, NY 13207-1314
Phone number: 315-876-7873
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