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1508983735
CARLA FAE JORDAN
LA CROSSE, WI
NPI
1508983735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: WI 138548030)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- CARLA FAE JORDAN RN
1407 SAINT ANDREW ST STE 100
LA CROSSE, WI 54603-3301
Phone number: 608-785-6212
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Mailing Address
-- CARLA FAE JORDAN RN
2830 WARD AVE
LA CROSSE, WI 54601-7426
Phone number:
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