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1700189651
RONALD EDWARD JORDAN
SHAWNEE, OK
NPI
1700189651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-12-15
Last Update Date
2010-12-15
Business Address
Mr. RONALD EDWARD JORDAN B.A.-B.H.R.S.
647 N KICKAPOO AVE
SHAWNEE, OK 74580
Phone number: 918-470-3483
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Mailing Address
Mr. RONALD EDWARD JORDAN B.A.-B.H.R.S.
647 N KICKAPOO AVE
SHAWNEE, OK 74580
Phone number: 918-470-3483
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