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1932403631
AMANDA NICOLE JORDAN
SPRINGFIELD, IL
NPI
1932403631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209008600)
Enumeration Date
2011-01-10
Last Update Date
2011-01-18
Business Address
-- AMANDA NICOLE JORDAN CRNA
701 N 1ST ST ANESTHESIA DEPARTMENT
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3754
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Mailing Address
-- AMANDA NICOLE JORDAN CRNA
701 N 1ST ST ANESTHESIA DEPARTMENT
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3754
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