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1831894906
JORDAN SHAYE CLARK
PORT ST LUCIE, FL
NPI
1831894906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: FL CH14473)
Enumeration Date
2023-03-30
Last Update Date
2023-03-30
Business Address
JORDAN SHAYE CLARK DC
8108 CARNOUSTIE PL
PORT ST LUCIE, FL 34986-3317
Phone number: 732-850-8304
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Mailing Address
JORDAN SHAYE CLARK DC
8108 CARNOUSTIE PL
PORT ST LUCIE, FL 34986-3317
Phone number: 732-850-8304
Copy
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