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1992560809
JEROME JORDAN
LORAIN, OH
NPI
1992560809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH CNP.0035744)
Enumeration Date
2024-02-20
Last Update Date
2024-04-01
Business Address
JEROME JORDAN CNP
1205 BROADWAY
LORAIN, OH 44052-3409
Phone number: 769-610-2804
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Mailing Address
JEROME JORDAN CNP
12303 CEDAR RD APT 135
CLEVELAND HEIGHTS, OH 44106-3174
Phone number: 769-610-2804
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