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1174015788
JORDAN HEINLEIN
CHARLOTTE, NC
NPI
1174015788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-2769)
Enumeration Date
2018-05-31
Last Update Date
2018-05-31
Business Address
JORDAN HEINLEIN MS, LAT, ATC
1900 SELWYN AVE
CHARLOTTE, NC 28207-2450
Phone number: 704-337-7093
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Mailing Address
JORDAN HEINLEIN MS, LAT, ATC
1900 SELWYN AVE
CHARLOTTE, NC 28207-2450
Phone number:
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