JORDAN LICATA

LEBANON, OR
NPI1952795106
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-03-26
Last Update Date2015-03-26
Business Address
JORDAN LICATA
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0200
Mailing Address
JORDAN LICATA
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number:
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