JORDAN BLASIER

GREEN BAY, WI
NPI1700171956
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  3536-154)
Enumeration Date2011-06-16
Last Update Date2011-06-16
Business Address
-- JORDAN BLASIER SLP
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-5555
Mailing Address
-- JORDAN BLASIER SLP
1643 LYNWOOD LN
GREEN BAY, WI 54311-6039
Phone number: 920-680-3011
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