JORDAN I OUTWATER

POUGHKEEPSIE, NY
NPI1689148439
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-01-15
Last Update Date2019-01-15
Business Address
JORDAN I OUTWATER
49 LINDBERGH PL
POUGHKEEPSIE, NY 12603-1335
Phone number: 845-380-1812
Mailing Address
JORDAN I OUTWATER
49 LINDBERGH PL
POUGHKEEPSIE, NY 12603-1335
Phone number: 845-380-1812
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