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1710522131
JORDAN A EARLYWINE
CRESTVIEW HILLS, KY
NPI
1710522131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 007821)
Enumeration Date
2019-11-08
Last Update Date
2020-03-18
Business Address
JORDAN A EARLYWINE DPT
540 CENTRE VIEW BLVD
CRESTVIEW HILLS, KY 41017-3400
Phone number: 513-221-1100
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Mailing Address
JORDAN A EARLYWINE DPT
162 BARNWOOD DR
EDGEWOOD, KY 41017-2501
Phone number: 859-331-4163
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