Individual
JORDON LUPON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
82 KEMP AVE, FAIR HAVEN, NJ 07704-3530
(732) 673-4689
Mailing address
82 KEMP AVE, FAIR HAVEN, NJ 07704-3530
(732) 673-4689
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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