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1811676786
JORDAN N KNICKERBOCKER
GRAND JUNCTION, CO
NPI
1811676786
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Former Name
JORDAN N DEBOER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CO Pending)
Enumeration Date
2023-07-17
Last Update Date
2024-10-16
Business Address
JORDAN N KNICKERBOCKER NP
3150 N 12TH ST
GRAND JUNCTION, CO 81506-2863
Phone number: 970-254-2642
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Mailing Address
JORDAN N KNICKERBOCKER NP
PO BOX 10700
GRAND JUNCTION, CO 81502-5517
Phone number: 970-254-2642
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