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1639951205
JORDAN R FERGUSON
FORT LAUDERDALE, FL
NPI
1639951205
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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
2023-10-18
Last Update Date
2023-10-18
Business Address
JORDAN R FERGUSON
3300 S UNIVERSITY
FORT LAUDERDALE, FL 33328
Phone number: 800-541-6682
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Mailing Address
JORDAN R FERGUSON
15647 SW 53RD ST
MIRAMAR, FL 33027
Phone number: 754-273-0221
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