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Individual

MS. WENDY JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
27A HIGH ST, EXETER, NH 03833-2905
(603) 778-8248
Mailing address
27A HIGH ST, EXETER, NH 03833-2905
(603) 778-8248

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
19613354

Other

Enumeration date
09/17/2012
Last updated
09/17/2012
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