JORDON EVERETT WHITLEY

CORNING, AR
NPI1750889226
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AR  L059563)
Enumeration Date2018-01-30
Last Update Date2018-01-30
Business Address
JORDON EVERETT WHITLEY
602 DAVID ST
CORNING, AR 72422-7268
Phone number: 870-857-3655
Mailing Address
JORDON EVERETT WHITLEY
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4961
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