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1841734811
JORDAN LEE HARTMAN
THIBODAUX, LA
NPI
1841734811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-12-11
Last Update Date
2016-12-11
Business Address
Mr. JORDAN LEE HARTMAN
906 E 1ST ST
THIBODAUX, LA 70301-6701
Phone number: 985-448-4837
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Mailing Address
Mr. JORDAN LEE HARTMAN
9240 MAIN ST
HOUMA, LA 70363-5371
Phone number: 985-381-3724
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