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1316305790
JORDAN CHINGO
DE PERE, WI
NPI
1316305790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: WI 5832-26)
Enumeration Date
2016-02-01
Last Update Date
2024-05-23
Business Address
JORDAN CHINGO OTR
1686 EISENHOWER RD
DE PERE, WI 54115-8145
Phone number: 920-496-4700
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Mailing Address
JORDAN CHINGO OTR
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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