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1780189894
JORDAN MACKENZIE LOOMIS
AUSTIN, TX
NPI
1780189894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
JORDAN MACKENZIE LOOMIS
2409 UNIVERSITY AVE
AUSTIN, TX 78712-1112
Phone number: 512-471-1737
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Mailing Address
JORDAN MACKENZIE LOOMIS
4600 W GUADALUPE ST APT B413
AUSTIN, TX 78751-2968
Phone number: 806-680-3549
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