JORDAN STITHEM

GRAND ISLAND, NE
NPI1720660137
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  567)
Enumeration Date2021-04-25
Last Update Date2021-04-25
Business Address
JORDAN STITHEM ATC
1618 N TAYLOR AVE
GRAND ISLAND, NE 68803-2632
Phone number: 308-390-9992
Mailing Address
JORDAN STITHEM ATC
1618 N TAYLOR AVE
GRAND ISLAND, NE 68803-2632
Phone number: 308-390-9992
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