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Individual
NIGEL WAYNE JORDON
Active
Individual
NIGEL WAYNE JORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AS410311728
MI
3104A0625X
Assisted Living Facility (Mental Illness)
AS410409367
MI
Other
Enumeration date
12/28/2021
Last updated
12/30/2021
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