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1528770401
JORDAN LANE
LEXINGTON, KY
NPI
1528770401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XG0600X Occupational Therapist, Gerontology
Enumeration Date
2022-12-22
Last Update Date
2022-12-22
Business Address
JORDAN LANE
1165 MONARCH ST
LEXINGTON, KY 40513-1979
Phone number: 859-710-5458
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Mailing Address
JORDAN LANE
1165 MONARCH ST
LEXINGTON, KY 40513-1979
Phone number:
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