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1740913995
LISA MARIE JORDAN
ROCHESTER, NY
NPI
1740913995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 335721)
Enumeration Date
2022-07-06
Last Update Date
2022-07-06
Business Address
LISA MARIE JORDAN
3300 DEWEY AVE
ROCHESTER, NY 14616-3741
Phone number: 585-865-1550
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Mailing Address
LISA MARIE JORDAN
114 OAKBRIAR CT APT 24
PENFIELD, NY 14526-2672
Phone number: 585-278-2110
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