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Jordan Young

Technician, Other in Hartland, MI. Individual provider (NPI-1).

NPI number1154773414
StatusActive
Last updated in NPPESJul 11, 2016

Details

NPI
1154773414
Entity type
Individual (NPI-1)
Name
Jordan Young
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2016
Last updated
Jul 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, OtherY520439676427MIYes

Practice location

2331 Peppermill Ct
Hartland, MI 48353-3146

Phone 248-707-4796

Mailing address

2331 Peppermill Ct
Hartland, MI 48353-3146

Phone 248-707-4796

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