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1689295008
JORDAN WAYNE SMITH
LOMA LINDA, CA
NPI
1689295008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-27
Last Update Date
2020-04-27
Business Address
JORDAN WAYNE SMITH
11234 ANDERSON ST GME OFFICE WESTERLY SUITE 'C'
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4671
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Mailing Address
JORDAN WAYNE SMITH
11234 ANDERSON ST GME OFFICE WESTERLY SUITE 'C'
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4671
Copy
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