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1598589087
JESSICA JORDAN
FAIRMONT, WV
NPI
1598589087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2024-11-11
Last Update Date
2024-11-11
Business Address
JESSICA JORDAN
26 SUNNY CROFT LN
FAIRMONT, WV 26554-8882
Phone number: 304-657-0895
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Mailing Address
JESSICA JORDAN
26 SUNNY CROFT LN
FAIRMONT, WV 26554-8882
Phone number: 304-657-0895
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