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1568051035
JORDAN JENKINS
FAYETTE, MO
NPI
1568051035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2020026480)
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
JORDAN JENKINS LAT, ATC
411 CENTRAL METHODIST SQ STE 1
FAYETTE, MO 65248-1198
Phone number: 660-248-6978
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Mailing Address
JORDAN JENKINS LAT, ATC
106 S MULBERRY ST
FAYETTE, MO 65248-1316
Phone number: 816-824-7136
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