JORDAN PROFITT

GRAND RAPIDS, MI
NPI1568845139
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  A160577346)
Enumeration Date2015-07-01
Last Update Date2015-07-01
Business Address
-- JORDAN PROFITT MA, ATC/L
607 DEWEY AVE NW STE 300
GRAND RAPIDS, MI 49504-7335
Phone number: 253-332-3398
Mailing Address
-- JORDAN PROFITT MA, ATC/L
17927 26TH STREET CT E
LAKE TAPPS, WA 98391-9408
Phone number: 253-332-3398
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