JORDAN SCOTT SMUTS

BLOOMINGTON, IN
NPI1255605861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001904A)
Enumeration Date2012-02-28
Last Update Date2012-02-28
Business Address
Mr. JORDAN SCOTT SMUTS ATC
1025 E 7TH ST
BLOOMINGTON, IN 47405-7109
Phone number: 812-855-1561
Mailing Address
Mr. JORDAN SCOTT SMUTS ATC
1025 E 7TH ST
BLOOMINGTON, IN 47405-7109
Phone number:
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