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1851908016
TAKENYA LACOLE JORDAN
ALBANY, GA
NPI
1851908016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist Prosthetics Case Management
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
TAKENYA LACOLE JORDAN
2231 DAWSON RD STE IJ
ALBANY, GA 31707-3227
Phone number: 229-938-2083
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Mailing Address
TAKENYA LACOLE JORDAN
2231 DAWSON RD STE IJ
ALBANY, GA 31707-3227
Phone number: 229-938-2083
Copy
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