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1740657857
JIMMY JORDAN
TULSA, OK
NPI
1740657857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
-- JIMMY JORDAN
3507 E ADMIRAL PL
TULSA, OK 74115-8211
Phone number: 918-834-4194
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Mailing Address
-- JIMMY JORDAN
3507 E ADMIRAL PL
TULSA, OK 74115-8211
Phone number: 918-834-4194
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