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1720353907
MARTHA JORDAN
EVERETT, WA
NPI
1720353907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: WA MA0003543)
Enumeration Date
2012-03-20
Last Update Date
2012-03-20
Business Address
-- MARTHA JORDAN LMP
210 128TH ST SE
EVERETT, WA 98208-6338
Phone number: 425-337-5100
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Mailing Address
-- MARTHA JORDAN LMP
14112 1ST AVE W
EVERETT, WA 98208-6963
Phone number: 425-787-0258
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