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1013696038
DIANA JORDAN
WEXFORD, PA
NPI
1013696038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT031355)
Enumeration Date
2023-07-17
Last Update Date
2023-08-11
Business Address
DIANA JORDAN DPT
12311 PERRY HWY
WEXFORD, PA 15090-8344
Phone number: 878-332-4143
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Mailing Address
DIANA JORDAN DPT
12311 PERRY HWY
WEXFORD, PA 15090-8344
Phone number:
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