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1245601483
JORDAN GOSZTOLA
MUNCIE, IN
NPI
1245601483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-10-14
Last Update Date
2015-10-14
Business Address
-- JORDAN GOSZTOLA
2000 W UNIVERSITY AVE HEALTH AND PHYSICAL ACTIVITY BUILDING
MUNCIE, IN 47306-1022
Phone number: 765-285-3223
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Mailing Address
-- JORDAN GOSZTOLA
1900 W JACKSON ST
MUNCIE, IN 47303-4854
Phone number:
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