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1417650607
JORDAN SHORTREED
LA CROSSE, WI
NPI
1417650607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-24
Last Update Date
2023-03-24
Business Address
JORDAN SHORTREED
1900 SOUTH AVE
LA CROSSE, WI 54601-5467
Phone number: 608-782-7300
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Mailing Address
JORDAN SHORTREED
1900 SOUTH AVE
LA CROSSE, WI 54601-5467
Phone number: 608-782-7300
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