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1619407483
TONJA BENETTA JORDAN
LOS ANGELES, CA
NPI
1619407483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: CA 593258)
Enumeration Date
2017-06-14
Last Update Date
2022-07-21
Business Address
Ms. TONJA BENETTA JORDAN Registered Nurse
5850 SOUTH MAIN ST
LOS ANGELES, CA 90003
Phone number: 323-897-6079
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Mailing Address
Ms. TONJA BENETTA JORDAN Registered Nurse
5850 S MAIN ST
LOS ANGELES, CA 90003-1215
Phone number: 323-897-6079
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