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1881212678
JORDAN LANE MATHENY
MANSFIELD, OH
NPI
1881212678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 175326)
Enumeration Date
2020-07-08
Last Update Date
2020-07-08
Business Address
JORDAN LANE MATHENY
1451 LUCAS RD
MANSFIELD, OH 44903-8682
Phone number: 419-589-5511
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Mailing Address
JORDAN LANE MATHENY
1451 LUCAS RD
MANSFIELD, OH 44903-8682
Phone number: 419-589-5511
Copy
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