JORDAN D LANGE

SAINT CLOUD, MN
NPI1215582192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-08-07
Last Update Date2019-08-07
Business Address
Mr. JORDAN D LANGE ATC
4020 CLEARWATER RD APT 206
SAINT CLOUD, MN 56301-8601
Phone number: 218-396-0160
Mailing Address
Mr. JORDAN D LANGE ATC
4020 CLEARWATER RD APT 206
SAINT CLOUD, MN 56301-8601
Phone number: 218-396-0160
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