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1619590155
JORDAN THOMAS OTTENBACHER
ANKENY, IA
NPI
1619590155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
JORDAN THOMAS OTTENBACHER
227 NW SCHOOL ST
ANKENY, IA 50023-1746
Phone number: 515-964-5003
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Mailing Address
JORDAN THOMAS OTTENBACHER
227 NW SCHOOL ST
ANKENY, IA 50023-1746
Phone number: 515-964-5003
Copy
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