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1518589035
JORDAN D JOHNSON
BATON ROUGE, LA
NPI
1518589035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2020-05-07
Last Update Date
2020-05-07
Business Address
JORDAN D JOHNSON
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: 225-478-9685
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Mailing Address
JORDAN D JOHNSON
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: 225-478-9685
Copy
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