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1255846986
JORDAN D SHAW
GRANTS PASS, OR
NPI
1255846986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 5867)
Enumeration Date
2017-12-04
Last Update Date
2017-12-04
Business Address
MR. JORDAN D SHAW D.C.
333 SW 5TH ST STE B
GRANTS PASS, OR 97526-2509
Phone number: 541-471-0397
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Mailing Address
MR. JORDAN D SHAW D.C.
333 SW. 5TH ST. SUITE B AXIS HEALTH INC
GRANTS PASS, OR 97526
Phone number: 541-471-0397
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