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1205615689
JORDAN HANNER
LUDINGTON, MI
NPI
1205615689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501302435)
Enumeration Date
2023-09-26
Last Update Date
2024-02-07
Business Address
JORDAN HANNER
3837 W US HIGHWAY 10
LUDINGTON, MI 49431-9601
Phone number: 231-674-5815
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Mailing Address
JORDAN HANNER
PO BOX 412031
BOSTON, MA 02241-2031
Phone number: 914-294-4050
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