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Individual

KATHERINE JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
105 LIBERTY ST, CUTHBERT, GA 39840-6325
(229) 310-0394
Mailing address
105 LIBERTY ST, CUTHBERT, GA 39840-6325
(229) 310-0394

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
07/29/2014
Last updated
07/29/2014
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