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Individual

JORDAN VANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2648 MAIN ST APT 4, HURRICANE, WV 25526-1439
(304) 972-2252
Mailing address
2648 MAIN ST APT 4, HURRICANE, WV 25526-1439

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
09/11/2024
Last updated
09/11/2024
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