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1821424037
LA TASHA MICHELLE JORDAN
CHEEKTOWAGA, NY
NPI
1821424037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 10-265177)
Enumeration Date
2013-09-19
Last Update Date
2013-09-19
Business Address
MS. LA TASHA MICHELLE JORDAN
7 FLOREIS CT APT 2
CHEEKTOWAGA, NY 14225-2622
Phone number: 716-903-6088
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Mailing Address
MS. LA TASHA MICHELLE JORDAN
7 FLOREIS CT APT 2
CHEEKTOWAGA, NY 14225-2622
Phone number: 716-903-6088
Copy
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