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1760196372
NICKETA B JORDAN
GAINESVILLE, FL
NPI
1760196372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5244146)
Enumeration Date
2023-01-09
Last Update Date
2023-01-09
Business Address
NICKETA B JORDAN
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
NICKETA B JORDAN
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
Copy
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