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1568502540
JESSICA JORDAN
EAGAN, MN
NPI
1568502540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MN 7629)
Enumeration Date
2007-02-07
Last Update Date
2015-11-30
Business Address
-- JESSICA JORDAN MACCCSLP
2795 PILOT KNOB RD SUITE 100
EAGAN, MN 55121-1119
Phone number: 651-994-9644
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Mailing Address
-- JESSICA JORDAN MACCCSLP
4058 DEERWOOD TRL
EAGAN, MN 55122-1889
Phone number: 651-994-9644
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