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1720864507
JORDAN THE
LOS ANGELES, CA
NPI
1720864507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 43369)
Enumeration Date
2023-09-06
Last Update Date
2023-09-06
Business Address
JORDAN THE
5901 W CENTURY BLVD STE 750
LOS ANGELES, CA 90045-5443
Phone number: 888-880-3451
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Mailing Address
JORDAN THE
13 HASTINGS ST
REDLANDS, CA 92373-5008
Phone number: 817-657-1228
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