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1568090991
PHILLIP C JORDAN
NEW ORLEANS, LA
NPI
1568090991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-31
Last Update Date
2020-03-31
Business Address
PHILLIP C JORDAN
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121-2429
Phone number: 504-842-3000
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Mailing Address
PHILLIP C JORDAN
328 22ND ST
NEW ORLEANS, LA 70124-1311
Phone number: 318-451-7445
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