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1902560154
JACOB JORDAN
SANTA CRUZ, CA
NPI
1902560154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 687291)
Enumeration Date
2021-10-25
Last Update Date
2021-10-25
Business Address
JACOB JORDAN
2250 SOQUEL AVE
SANTA CRUZ, CA 95062-1402
Phone number: 831-600-2800
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Mailing Address
JACOB JORDAN
2250 SOQUEL AVE
SANTA CRUZ, CA 95062-1402
Phone number: 831-600-2800
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