KENTON JORDAN

LEBANON, OH
NPI1649964503
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-06-05
Last Update Date2023-06-05
Business Address
KENTON JORDAN
1677 STUBBS MILL RD
LEBANON, OH 45036-9657
Phone number: 740-646-2027
Mailing Address
KENTON JORDAN
1677 STUBBS MILL RD
LEBANON, OH 45036-9657
Phone number: 740-646-2027
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