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1740800523
JORDAN MARIE FREDRICK
ORLAND PARK, IL
NPI
1740800523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057004408)
Enumeration Date
2020-04-21
Last Update Date
2020-04-21
Business Address
JORDAN MARIE FREDRICK
9131 SANDPIPER CT
ORLAND PARK, IL 60462-3274
Phone number: 708-465-8391
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Mailing Address
JORDAN MARIE FREDRICK
9131 SANDPIPER CT
ORLAND PARK, IL 60462-3274
Phone number:
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