JORDAN SHOWN

GREENWOOD, IN
NPI1124569199
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001124A)
Enumeration Date2017-03-10
Last Update Date2017-03-10
Business Address
-- JORDAN SHOWN ATC, LAT
1509 BLUESTEM DR
GREENWOOD, IN 46143-6212
Phone number: 317-509-6438
Mailing Address
-- JORDAN SHOWN ATC, LAT
1509 BLUESTEM DR
GREENWOOD, IN 46143-6212
Phone number: 317-509-6438
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