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1265088371
JORDAN DAVIS
BISMARCK, ND
NPI
1265088371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ND 523-14)
Enumeration Date
2019-08-14
Last Update Date
2019-08-14
Business Address
JORDAN DAVIS MS/LAT/ATC
225 N 7TH ST
BISMARCK, ND 58501-4417
Phone number: 701-226-8094
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Mailing Address
JORDAN DAVIS MS/LAT/ATC
2201 SHERMAN DR
BISMARCK, ND 58504-3105
Phone number: 701-226-8094
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