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1528172251
MARY LEE JORDAN
WEST LAFAYETTE, IN
NPI
1528172251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28150559A)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
Mrs. MARY LEE JORDAN aprn
3851 N RIVER RD
WEST LAFAYETTE, IN 47906
Phone number: 765-464-2280
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Mailing Address
Mrs. MARY LEE JORDAN aprn
713 SHADY CREEK DR
LAFAYETTE, IN 47905-7510
Phone number: 765-446-7911
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