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Individual

ROBIN LEA JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
725 WASHBURN WAY, KLAMATH FALLS, OR 97603-3648
(541) 882-7291
Mailing address
3640 ONYX AVE, KLAMATH FALLS, OR 97603-7363
(541) 273-1453

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
092003127LPN
OR

Other

Enumeration date
09/16/2013
Last updated
09/16/2013
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