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Individual

JORDAN E NUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5426 KESWICK CT, AVON, IN 46123-8122
(317) 727-0006
Mailing address
5426 KESWICK CT, AVON, IN 46123-8122
(317) 727-0006

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/29/2025
Last updated
01/29/2025
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