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1023483526
JORDAN THERESA MANSFIELD
DRAPER, UT
NPI
1023483526
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Former Name
JORDAN THERESA BRYDE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501017278)
Enumeration Date
2015-12-09
Last Update Date
2022-07-25
Business Address
JORDAN THERESA MANSFIELD DPT
65 E WADSWORTH PARK DR STE 230
DRAPER, UT 84020-8096
Phone number: 385-308-8034
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Mailing Address
JORDAN THERESA MANSFIELD DPT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-1980
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