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1528597028
JORDAN M LONGNECKER
BENTONVILLE, AR
NPI
1528597028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A005126)
Enumeration Date
2017-06-08
Last Update Date
2017-06-08
Business Address
JORDAN M LONGNECKER NP
609 SW 8TH ST FL 6
BENTONVILLE, AR 72712-7886
Phone number: 337-991-9276
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Mailing Address
JORDAN M LONGNECKER NP
1509 DULLES DR
LAFAYETTE, LA 70506-3718
Phone number: 337-991-9276
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