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Individual
MRS. CASEY JO JORDAL
Active
Individual
MRS. CASEY JO JORDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
266364
SC
Other
Enumeration date
11/19/2024
Last updated
11/20/2024
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