Stephanie Jordan

NPI #1720495260 in Lucasville, Ohio

Provider Information

NPI Number: 1720495260
Entity Type: Individual
Name: Stephanie Jordan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jul 16, 2014
Last Updated: Jul 20, 2014

Practice Location

Address: 9500 CAMPCREEK RD
City: Lucasville
State: Ohio
ZIP Code: 45648
Phone: (740) 981-4844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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