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1235616582
JEREMY D JORDAN
PRESCOTT, AZ
NPI
1235616582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ LPT-30144)
Enumeration Date
2018-07-19
Last Update Date
2018-07-19
Business Address
JEREMY D JORDAN PT, DPT
3117 STILLWATER DR
PRESCOTT, AZ 86305-7164
Phone number: 928-442-0005
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Mailing Address
JEREMY D JORDAN PT, DPT
3117 STILLWATER DR
PRESCOTT, AZ 86305-7164
Phone number: 928-442-0005
Copy
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