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1750671889
ALFRED JORDAN
TUBA CITY, AZ
NPI
1750671889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: AZ CNA1000006672)
Enumeration Date
2011-04-11
Last Update Date
2011-04-11
Business Address
-- ALFRED JORDAN CNA
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- ALFRED JORDAN CNA
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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