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1053717355
MATT JORDAN
MINNEAPOLIS, MN
NPI
1053717355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2457)
Enumeration Date
2014-11-13
Last Update Date
2014-11-13
Business Address
-- MATT JORDAN
3112 HUMBOLDT AVE S APARTMENT 4
MINNEAPOLIS, MN 55408-2683
Phone number: 612-508-4967
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Mailing Address
-- MATT JORDAN
3112 HUMBOLDT AVE S APARTMENT 4
MINNEAPOLIS, MN 55408-2683
Phone number: 612-508-4967
Copy
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