Provider Demographics
NPI:1114509130
Name:ROBSON, JORDANA MARIE (HEALTH COACH)
Entity Type:Individual
Prefix:
First Name:JORDANA
Middle Name:MARIE
Last Name:ROBSON
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6039 SHERRY LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6402
Mailing Address - Country:US
Mailing Address - Phone:214-363-5267
Mailing Address - Fax:
Practice Address - Street 1:6039 SHERRY LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6402
Practice Address - Country:US
Practice Address - Phone:214-363-5267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
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