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1699521054
CARLTON MCDONALD-JORDAN
SAINT LOUIS, MO
NPI
1699521054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-04-26
Last Update Date
2024-05-29
Business Address
CARLTON MCDONALD-JORDAN
1 COLLEGE PARK DR
SAINT LOUIS, MO 63141-8660
Phone number: 573-300-8828
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Mailing Address
CARLTON MCDONALD-JORDAN
1008 S 9TH ST
POPLAR BLUFF, MO 63901-6256
Phone number:
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