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1508530908
KETRINA LYNN JORDAN
FORT PAYNE, AL
NPI
1508530908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-08-09
Last Update Date
2021-08-09
Business Address
KETRINA LYNN JORDAN EdD
204 ALABAMA AVE SW
FORT PAYNE, AL 35967-1953
Phone number: 256-979-1777
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Mailing Address
KETRINA LYNN JORDAN EdD
204 ALABAMA AVE SW
FORT PAYNE, AL 35967-1953
Phone number: 256-979-1777
Copy
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