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1861090953
JORDAN JOHNSON
SOUTHFIELD, MI
NPI
1861090953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI 6801107130)
Enumeration Date
2020-10-12
Last Update Date
2020-10-12
Business Address
JORDAN JOHNSON
19710 CHERRY HILL ST
SOUTHFIELD, MI 48076-1061
Phone number: 248-514-9024
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Mailing Address
JORDAN JOHNSON
19710 CHERRY HILL ST
SOUTHFIELD, MI 48076-1061
Phone number: 248-514-9024
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