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1548846934
MICHAEL RICHARD JORDAN
BANGOR, ME
NPI
1548846934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ME RN78310)
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
MICHAEL RICHARD JORDAN
268 STILLWATER AVE
BANGOR, ME 04401-3945
Phone number: 207-973-6100
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Mailing Address
MICHAEL RICHARD JORDAN
47 BRIMMER ST
BREWER, ME 04412-2135
Phone number:
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