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1316788946
JORDAN ELAM
HENRICO, VA
NPI
1316788946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305216529)
Enumeration Date
2024-06-06
Last Update Date
2024-06-12
Business Address
JORDAN ELAM
12216 W BROAD ST STE 4B-5
HENRICO, VA 23233-1062
Phone number: 804-533-0071
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Mailing Address
JORDAN ELAM
PO BOX 715868
PHILADELPHIA, PA 19171-5868
Phone number: 804-915-1910
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