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1912588781
DARRELL JORDAN
MONROE, LA
NPI
1912588781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-04-14
Last Update Date
2021-04-14
Business Address
DARRELL JORDAN
4310 S GRAND ST
MONROE, LA 71202-6322
Phone number: 318-654-8300
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Mailing Address
DARRELL JORDAN
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number:
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