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1831893221
IVANA JORDAN
FORT LAUDERDALE, FL
NPI
1831893221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
IVANA JORDAN DO
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316-2510
Phone number: 954-355-4400
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Mailing Address
IVANA JORDAN DO
2520 CRENSHAW DR
ROUND ROCK, TX 78664-6106
Phone number: 512-870-7798
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