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Individual

JORDAN BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
9485 MENTOR AVE STE 210, MENTOR, OH 44060-8723
(440) 255-5571
(440) 205-5744
Mailing address
9485 MENTOR AVENUE, SUITE 210 PRIMEHEALTH, MENTOR, OH 44060-8723
(440) 205-5883
(440) 205-5746

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
14339-NP
OH

Other

Enumeration date
03/06/2013
Last updated
02/26/2021
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