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1841020534
NICKEY LESCHELL JORDAN
LAWRENCEVILLE, GA
NPI
1841020534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN212560)
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
NICKEY LESCHELL JORDAN
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
NICKEY LESCHELL JORDAN
2025 SKYLAND GLEN DR
SNELLVILLE, GA 30078-3866
Phone number: 404-337-0364
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