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1902401896
SHIKARA S JORDAN
AUGUSTA, GA
NPI
1902401896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: GA 211773)
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
SHIKARA S JORDAN
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-6744
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Mailing Address
SHIKARA S JORDAN
4605 PINEHURST CT
HEPHZIBAH, GA 30815-4795
Phone number:
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