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1144436700
JEREMY JORDAN
FRISCO, TX
NPI
1144436700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 111246)
Enumeration Date
2007-05-14
Last Update Date
2011-09-09
Business Address
-- JEREMY JORDAN OTR
1701 LEGACY DR STE 1475
FRISCO, TX 75034-2064
Phone number: 877-896-3660
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Mailing Address
-- JEREMY JORDAN OTR
404 VALLEY COVE DR
RICHARDSON, TX 75080-1843
Phone number: 512-586-4583
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