JORDAN BERRY

MACON, MO
NPI1891145975
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MO  2015016912)
Enumeration Date2016-06-20
Last Update Date2016-06-20
Business Address
JORDAN BERRY
209 N MISSOURI ST
MACON, MO 63552-2151
Phone number: 660-395-5045
Mailing Address
JORDAN BERRY
1416 CROWN DR
KIRKSVILLE, MO 63501-2548
Phone number: 660-627-5757
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