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1215003124
CORRINE JORDAN
FOND DU LAC, WI
NPI
1215003124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 447-24)
Enumeration Date
2006-11-24
Last Update Date
2007-07-08
Business Address
CORRINE JORDAN
517 E DIVISION ST
FOND DU LAC, WI 54935-3735
Phone number: 920-921-6800
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Mailing Address
CORRINE JORDAN
355 MARY LEE DR
FOND DU LAC, WI 54935-1847
Phone number:
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