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1962016972
STEPHANIE LYNN JORDAN
LAKEWOOD, CO
NPI
1962016972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-09-07
Last Update Date
2020-09-07
Business Address
Mrs. STEPHANIE LYNN JORDAN
7410 W WARREN CIR APT 1205
LAKEWOOD, CO 80227-2695
Phone number: 813-580-4651
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Mailing Address
Mrs. STEPHANIE LYNN JORDAN
7410 W WARREN CIR APT 1205
LAKEWOOD, CO 80227-2695
Phone number: 813-580-4651
Copy
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