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1134528995
JORDAN BIGAM
SHERWOOD, OR
NPI
1134528995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-08-18
Last Update Date
2014-08-18
Business Address
-- JORDAN BIGAM ATC
20385 SW EDY RD
SHERWOOD, OR 97140-7407
Phone number: 503-929-2809
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Mailing Address
-- JORDAN BIGAM ATC
20385 SW EDY RD
SHERWOOD, OR 97140-7407
Phone number: 503-929-2809
Copy
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