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Individual
TRACY DENICE JORDAN
Active
Individual
TRACY DENICE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
491387
OH
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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