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1780143529
JORDAN GOLDWAG
LEXINGTON, KY
NPI
1780143529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-19
Last Update Date
2019-03-19
Business Address
JORDAN GOLDWAG
800 ROSE ST RM MN-283
LEXINGTON, KY 40536-0293
Phone number: 859-323-5057
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Mailing Address
JORDAN GOLDWAG
800 ROSE ST RM MN-283
LEXINGTON, KY 40536-0293
Phone number: 859-323-5057
Copy
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