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1417563529
JORDAN VICTORIO
MILWAUKIE, OR
NPI
1417563529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2020-09-23
Last Update Date
2020-09-23
Business Address
JORDAN VICTORIO
4560 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222-4628
Phone number: 626-404-8173
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Mailing Address
JORDAN VICTORIO
19462 EMPTY SADDLE RD
WALNUT, CA 91789-4290
Phone number:
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