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1750129953
JORDAN EMILE VIDRINE
ALEXANDRIA, LA
NPI
1750129953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: LA RN156033)
Enumeration Date
2024-07-20
Last Update Date
2024-12-10
Business Address
JORDAN EMILE VIDRINE SRNA
3330 MASONIC DR
ALEXANDRIA, LA 71301-3841
Phone number: 318-487-1122
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Mailing Address
JORDAN EMILE VIDRINE SRNA
1077 TIMMY ST
VILLE PLATTE, LA 70586-7509
Phone number: 337-230-4919
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