JORDAN DERRICK

LUBBOCK, TX
NPI1013457373
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-03-06
Last Update Date2017-03-06
Business Address
-- JORDAN DERRICK
6312 73RD ST APT 1510
LUBBOCK, TX 79424-1955
Phone number: 940-597-4010
Mailing Address
-- JORDAN DERRICK
6312 73RD ST APT 1510
LUBBOCK, TX 79424-1955
Phone number: 940-597-4010
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