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1891359634
JOHNNY LEE JORDAN
SAINT JOSEPH, MI
NPI
1891359634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-04-26
Last Update Date
2019-04-26
Business Address
JOHNNY LEE JORDAN
4032 M 139 STE 108
SAINT JOSEPH, MI 49085-8664
Phone number: 269-556-1526
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Mailing Address
JOHNNY LEE JORDAN
4032 M 139 STE 108
SAINT JOSEPH, MI 49085-8664
Phone number: 269-556-1526
Copy
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