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Individual

NAN JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2100 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-7759
(616) 954-5534
(616) 954-1520
Mailing address
2100 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-7759
(616) 954-5534
(616) 954-1520

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704186193
MI

Other

Enumeration date
03/24/2014
Last updated
03/24/2014
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