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1790411015
SHIRLEY JORDAN
LITTLE ROCK, AR
NPI
1790411015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-07-28
Last Update Date
2022-07-28
Business Address
SHIRLEY JORDAN
6210 BASELINE RD
LITTLE ROCK, AR 72209-4728
Phone number: 501-265-0302
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Mailing Address
SHIRLEY JORDAN
6210 BASELINE RD
LITTLE ROCK, AR 72209-4728
Phone number: 501-265-0302
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