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Organization
JAZZ HAIR INSTITUTE
Active
Organization
JAZZ HAIR INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY JORDAN (COSMETOLOGIST)
(314) 389-5770
Entity
Organization
Contact information
Practice address
3950 COOK AVE, SAINT LOUIS, MO 63113-3402
(314) 258-7061
Mailing address
3950 COOK AVE, SAINT LOUIS, MO 63113
(314) 258-7061
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
NULL
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
12/21/2012
Last updated
01/20/2017
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