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1811261092
JORDAN ALLEN ANDERSON
NORTHFIELD, IL
NPI
1811261092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 096003162)
Enumeration Date
2012-03-06
Last Update Date
2014-06-13
Business Address
MR. JORDAN ALLEN ANDERSON MS, ATC
7 HAPP ROAD NEW TRIER TOWNSHIP HIGH SCHOOL
NORTHFIELD, IL 60093
Phone number: 847-784-7750
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Mailing Address
MR. JORDAN ALLEN ANDERSON MS, ATC
1318 W BRYN MAWR AVE APT G
CHICAGO, IL 60660-4237
Phone number: 815-670-4187
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