JORDON JACKLIN

DOUGLAS, WY
NPI1467070730
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  1635)
Enumeration Date2020-07-13
Last Update Date2020-07-13
Business Address
JORDON JACKLIN DPT
111 S 5TH ST
DOUGLAS, WY 82633-2434
Phone number: 307-358-9464
Mailing Address
JORDON JACKLIN DPT
PO BOX 1790
DOUGLAS, WY 82633-1790
Phone number: 307-358-9464
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