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1750514600
GINA MICHELE JORDAN
COLUMBIA, MD
NPI
1750514600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MD A00176)
Enumeration Date
2009-08-26
Last Update Date
2009-08-26
Business Address
Miss GINA MICHELE JORDAN cota/l
10015 OLD COLUMBIA RD SUITE B 215
COLUMBIA, MD 21046-1703
Phone number: 410-312-7631
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Mailing Address
Miss GINA MICHELE JORDAN cota/l
400 SYMPHONY CIR #331
HUNT VALLEY, MD 21030-1989
Phone number: 410-771-6671
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