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Individual

ANNIE D JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5049 GUNSTON DR, COLUMBUS, OH 43232
(614) 441-3325
Mailing address
5049 GUNSTON DR, COLUMBUS, OH 43232-6272
(614) 441-3325

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0203468
OH
Enumeration date
07/13/2017
Last updated
07/21/2022
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