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1801497193
JACQUELINE JORDAN
COLUMBUS, GA
NPI
1801497193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
(Licence: AL s4q7j8j5)
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
JACQUELINE JORDAN MA
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5500
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Mailing Address
JACQUELINE JORDAN MA
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5500
Copy
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