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1740602622
STACY JORDAN
SOMERSET, KY
NPI
1740602622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY R2703)
Enumeration Date
2014-01-13
Last Update Date
2014-01-13
Business Address
-- STACY JORDAN OTR/l
216 POPLAR AVE SUITE 101
SOMERSET, KY 42503-1764
Phone number: 606-677-1166
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Mailing Address
-- STACY JORDAN OTR/l
216 POPLAR AVE SUITE 101
SOMERSET, KY 42503-1764
Phone number: 606-677-1166
Copy
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