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1164290607
JORDAN LANDRYQQ
GALESBURG, IL
NPI
1164290607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070027759)
Enumeration Date
2023-12-14
Last Update Date
2023-12-14
Business Address
JORDAN LANDRYQQ
1240 N. HENDERSON ST
GALESBURG, IL 61401
Phone number: 309-343-3434
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Mailing Address
JORDAN LANDRYQQ
PO BOX 47
BLOOMINGTON, IL 61702-0047
Phone number: 309-661-8823
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