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1194396036
JORDAN CHRISTINE PEROUTKY
GREEN BAY, WI
NPI
1194396036
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Former Name
JODRAN CHRISTINE WHIPPLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WI 5258-154)
Enumeration Date
2021-07-01
Last Update Date
2022-12-28
Business Address
JORDAN CHRISTINE PEROUTKY SLP
725 S WEBSTER AVE
GREEN BAY, WI 54301-3500
Phone number: 920-433-7995
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Mailing Address
JORDAN CHRISTINE PEROUTKY SLP
100 COUNTY ROAD B
SHAWANO, WI 54166-7072
Phone number: 715-526-7370
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