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1063805513
JORDAN AMBROSE
MONMOUTH, OR
NPI
1063805513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 5161)
Enumeration Date
2015-03-09
Last Update Date
2015-03-09
Business Address
Dr. JORDAN AMBROSE D.C.
953 CAROLINE WAY E
MONMOUTH, OR 97361-1202
Phone number: 503-470-0072
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Mailing Address
Dr. JORDAN AMBROSE D.C.
953 CAROLINE WAY E
MONMOUTH, OR 97361-1202
Phone number: 503-470-0072
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