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1790169035
ANDREA JORDAN
DETROIT, MI
NPI
1790169035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703063848)
Enumeration Date
2015-07-16
Last Update Date
2015-07-16
Business Address
-- ANDREA JORDAN
9008 BURT RD
DETROIT, MI 48228-1610
Phone number: 248-667-1997
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Mailing Address
-- ANDREA JORDAN
8945 NORTH PARK PLACE APT. 307
MILWAUKEE, WI 53223
Phone number: 248-667-1997
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