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1831961994
JORDAN ELIZABETH ROSEN
VALLEJO, CA
NPI
1831961994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-10-23
Last Update Date
2023-11-02
Business Address
JORDAN ELIZABETH ROSEN
908 TUOLUMNE ST
VALLEJO, CA 94590-4641
Phone number: 707-648-8121
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Mailing Address
JORDAN ELIZABETH ROSEN
18250 LAS LOMAS RD
SONOMA, CA 95476-3965
Phone number:
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