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1215711759
MATTHEW ALEXANDER JORDAN
ASHBURN, VA
NPI
1215711759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126003611)
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
MATTHEW ALEXANDER JORDAN MS, LAT, ATC
20041 RIVERSIDE COMMONS PLZ
ASHBURN, VA 20147-5151
Phone number: 703-466-0447
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Mailing Address
MATTHEW ALEXANDER JORDAN MS, LAT, ATC
9682 CEDAR FARM CIR
FAIRFAX, VA 22031-5404
Phone number: 571-414-7433
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