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1609461854
JORDAN NICOLE CHURCH
AUBURN, AL
NPI
1609461854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207PS0010X Emergency Medicine, Sports Medicine
(Licence: AL 2050)
Enumeration Date
2021-03-09
Last Update Date
2021-03-09
Business Address
JORDAN NICOLE CHURCH LAT, ATC
188 S DONAHUE DR
AUBURN, AL 36849-5513
Phone number: 737-718-3795
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Mailing Address
JORDAN NICOLE CHURCH LAT, ATC
2260 E UNIVERSITY DR APT 4G
AUBURN, AL 36830-3341
Phone number: 734-718-3795
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