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Marilyn Jordan
NPI 1891190799 · on the registry since 2014
Practice
- Address
- 6440 Vinewood St
Apt 1
Detroit, MI 48208 - Phone
- (313) 469-5079
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-11-04
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 Michigan