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1780034066
MICHAEL CHRISTOPHER JORDAN
NORTHPORT, AL
NPI
1780034066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1245)
Enumeration Date
2016-06-16
Last Update Date
2016-06-16
Business Address
-- MICHAEL CHRISTOPHER JORDAN LAT ATC
1325 MCFARLAND BLVD
NORTHPORT, AL 35476-3270
Phone number: 205-333-4766
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Mailing Address
-- MICHAEL CHRISTOPHER JORDAN LAT ATC
5122 BLACKSTONE LN
NORTHPORT, AL 35473-1092
Phone number: 205-603-9961
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