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1093841785
NATHAN JAMES JORDAN
LA CROSSE, WI
NPI
1093841785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 4461026)
Enumeration Date
2007-02-26
Last Update Date
2018-06-07
Business Address
Mr. NATHAN JAMES JORDAN MS, OTR
1836 SOUTH AVE
LA CROSSE, WI 54601
Phone number: 608-782-7300
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Mailing Address
Mr. NATHAN JAMES JORDAN MS, OTR
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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