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Individual

AROURA ROSE JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
26401 PACIFIC HWY S, DES MOINES, WA 98198-9247
(253) 833-7444
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
(253) 661-8631

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAAR.CG.61510935
WA
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2271781
WA
Enumeration date
11/30/2023
Last updated
07/31/2026
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