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Individual
ELIZABETH JORDAN
Active
Individual
ELIZABETH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMSC, CGC
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
00000
KY
170300000X
Genetic Counselor (M.S.)
Primary
70.000283
OH
Other
Enumeration date
04/12/2017
Last updated
10/10/2017
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