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1235790411
JORDAN WOLFGANG MACH
DULUTH, MN
NPI
1235790411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2019-06-27
Last Update Date
2019-06-27
Business Address
JORDAN WOLFGANG MACH
1200 KENWOOD AVE
DULUTH, MN 55811-4199
Phone number: 218-723-5967
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Mailing Address
JORDAN WOLFGANG MACH
1200 KENWOOD AVE
DULUTH, MN 55811-4199
Phone number: 218-723-5967
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