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Jordan Larson
Student in an Organized Health Care Education/Training Program in Warren, Michigan
NPI 1538857008

Jordan Larson is a Student in an Organized Health Care Education/Training Program based in Warren, MI. Jordan Larson practices in Warren, MI. The NPI Number for Jordan Larson is 1538857008 and holds a License No. (Michigan).

The current practice location address for Jordan Larson is 12000 E 12 Mile Rd, Warren, MI and can be reached out via phone at 313-417-6752.

Location: 12000 E 12 Mile Rd, Warren, MI, 48093-3570
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538857008
Provider Name
Jordan Larson
Credential
Provider Entity Type
Individual
Gender
Male
Address
12000 E 12 Mile Rd, Warren, MI, 48093-3570
Phone Number
313-417-6752
Fax Number
Provider Enumeration Date
04/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12000 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3570
Phone Number
313-417-6752
Fax Number
person
Provider Business Mailing Address Details
Address
12000 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3570
Phone Number
313-417-6752
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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