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1740661867
LARISSA MICHELLE JORDAN
IOWA CITY, IA
NPI
1740661867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IA 075305)
Enumeration Date
2015-06-15
Last Update Date
2015-06-15
Business Address
-- LARISSA MICHELLE JORDAN MA
250 HAWKINS DR
IOWA CITY, IA 52242-1025
Phone number: 319-335-8736
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Mailing Address
-- LARISSA MICHELLE JORDAN MA
250 HAWKINS DR
IOWA CITY, IA 52242-1025
Phone number: 319-335-8736
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