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1902663982
ANTIONETTE JORDAN
BRIDGETON, MO
NPI
1902663982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: MO 155336)
Enumeration Date
2024-03-05
Last Update Date
2024-03-05
Business Address
ANTIONETTE JORDAN
4224 CARROLLTON DR APT A
BRIDGETON, MO 63044-1971
Phone number: 314-281-8660
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Mailing Address
ANTIONETTE JORDAN
4224 CARROLLTON DR APT A
BRIDGETON, MO 63044-1971
Phone number:
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