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1689230757
JORDAN EDWARD GREEN
BARTLESVILLE, OK
NPI
1689230757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-14
Last Update Date
2019-05-23
Business Address
JORDAN EDWARD GREEN
700 SW PENN
BARTLESVILLE, OK 74003-3847
Phone number: 918-337-8080
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Mailing Address
JORDAN EDWARD GREEN
700 SW PENN
BARTLESVILLE, OK 74003-3847
Phone number: 918-337-8080
Copy
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