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1740800119
QUANELLA A JORDAN
DOUGLASVILLE, GA
NPI
1740800119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374J00000X Doula
Enumeration Date
2020-04-25
Last Update Date
2020-04-25
Business Address
QUANELLA A JORDAN
4300 SINGLETREE DR
DOUGLASVILLE, GA 30135-8241
Phone number: 770-946-1373
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Mailing Address
QUANELLA A JORDAN
4300 SINGLETREE DR
DOUGLASVILLE, GA 30135-8241
Phone number: 770-946-1373
Copy
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