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1740685536
MALCOLM AUGUSTIN JORDAN
NORFOLK, VA
NPI
1740685536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: VA 916318)
Enumeration Date
2014-10-23
Last Update Date
2014-10-23
Business Address
Mr. MALCOLM AUGUSTIN JORDAN
999 WATERSIDE DR 2525&2600
NORFOLK, VA 23510-3300
Phone number: 757-237-2185
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Mailing Address
Mr. MALCOLM AUGUSTIN JORDAN
999 WATERSIDE DR 2525&2600
NORFOLK, VA 23510-3300
Phone number: 757-237-2185
Copy
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