Individual
SUZANNE RENEE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 E KIRK ST, HUGO, OK 74743-3607
(580) 326-5279
Mailing address
1001 W CLAYTON ST, HUGO, OK 74743-2803
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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