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1861256307
JORDAN B WHITE
JACKSON, MS
NPI
1861256307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-02-06
Last Update Date
2024-02-06
Business Address
JORDAN B WHITE
4820 NORTHAMPTON DR
JACKSON, MS 39211-5730
Phone number: 601-616-1710
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Mailing Address
JORDAN B WHITE
4820 NORTHAMPTON DR
JACKSON, MS 39211-5730
Phone number: 601-616-1710
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