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1982951760
JORDAN ANDERSON AMBROSE
CHICAGO, IL
NPI
1982951760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051.295278)
Enumeration Date
2012-08-10
Last Update Date
2012-08-10
Business Address
-- JORDAN ANDERSON AMBROSE PharmD
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-7841
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Mailing Address
-- JORDAN ANDERSON AMBROSE PharmD
260 E CHESTNUT ST APT 1507
CHICAGO, IL 60611-2411
Phone number: 630-988-9838
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