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Individual

CODY JAMES JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
302 WHITMAN RD, HARRISON, NE 69346-2553
(970) 324-9840
Mailing address
302 WHITMAN RD, HARRISON, NE 69346-2553

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
NE

Other

Enumeration date
03/23/2026
Last updated
03/23/2026
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Product
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  • Eligibility checks
  • EDI platform