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Individual
MR. JORDAN THOMAS ALBERDA
Active
Individual
MR. JORDAN THOMAS ALBERDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704295087
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
08/06/2019
Last updated
04/01/2022
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