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1871961847
JORDAN EDWARD NUTT
SUWANEE, GA
NPI
1871961847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN172181)
Enumeration Date
2015-09-09
Last Update Date
2015-09-09
Business Address
-- JORDAN EDWARD NUTT NP-C
510 RUBY FOREST PKWY
SUWANEE, GA 30024-3930
Phone number: 770-654-2171
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Mailing Address
-- JORDAN EDWARD NUTT NP-C
510 RUBY FOREST PKWY
SUWANEE, GA 30024-3930
Phone number: 770-654-2171
Copy
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