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Ivana Jourdon
NPI 1689261455 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4254 S Lynne Ln
Holladay, UT 84124 - Phone
- (602) 717-1963
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah