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1790021145
ANITA JORDAN
BRANDON, FL
NPI
1790021145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-12-12
Last Update Date
2012-12-12
Business Address
-- ANITA JORDAN
135 N MOON AVE
BRANDON, FL 33510-4419
Phone number: 813-689-8828
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Mailing Address
-- ANITA JORDAN
135 N MOON AVE
BRANDON, FL 33510-4419
Phone number:
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