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1972104297
JORDYNNE CARMICHAEL-GREEN
CANON CITY, CO
NPI
1972104297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CO OT.0006537)
Enumeration Date
2020-11-03
Last Update Date
2024-04-23
Business Address
JORDYNNE CARMICHAEL-GREEN
515 FAIRVIEW AVE
CANON CITY, CO 81212-2863
Phone number: 719-275-0655
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Mailing Address
JORDYNNE CARMICHAEL-GREEN
313 BELLOWS CT
CANON CITY, CO 81212-9515
Phone number: 570-447-9263
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