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1396312971
JORDAN KEATON
SHALLOTTE, NC
NPI
1396312971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P20224)
Enumeration Date
2021-06-10
Last Update Date
2021-07-15
Business Address
JORDAN KEATON
4503 MAIN ST
SHALLOTTE, NC 28470-4447
Phone number: 910-721-3157
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Mailing Address
JORDAN KEATON
PO BOX 601791
CHARLOTTE, NC 28260-1791
Phone number:
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