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1861748097
SHA'VONNA M JORDAN
BUFFALO, NY
NPI
1861748097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 605862-1)
Enumeration Date
2012-07-25
Last Update Date
2021-04-29
Business Address
SHA'VONNA M JORDAN RN
274 MILLICENT AVE
BUFFALO, NY 14215-2985
Phone number: 171-699-0608
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Mailing Address
SHA'VONNA M JORDAN RN
458 24TH ST
NIAGARA FALLS, NY 14303-1844
Phone number: 716-990-6084
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