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1104120310
HEATHER ELLEN JORDAN
OVERLAND PARK, KS
NPI
1104120310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-02113)
Enumeration Date
2011-01-03
Last Update Date
2011-01-03
Business Address
-- HEATHER ELLEN JORDAN PTA
7819 CONSER PL
OVERLAND PARK, KS 66204-2820
Phone number: 913-789-9900
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Mailing Address
-- HEATHER ELLEN JORDAN PTA
15041 WEST 138TH ST. 808
OLATHE, KS 66062
Phone number: 913-709-5334
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