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Individual

JORDAN DEMAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-1868
Mailing address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
01/28/2011
Last updated
01/28/2011
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