JORDAN WILLIAM WHITSELL

SIOUX FALLS, SD
NPI1447864855
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SD  0627)
Enumeration Date2020-09-02
Last Update Date2020-09-02
Business Address
JORDAN WILLIAM WHITSELL MS, LAT, ATC
810 E 23RD ST
SIOUX FALLS, SD 57105-2135
Phone number: 605-331-5890
Mailing Address
JORDAN WILLIAM WHITSELL MS, LAT, ATC
4640 E 54TH ST APT 339
SIOUX FALLS, SD 57110-4454
Phone number: 712-348-4045
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