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1841779386
JORDAN BACHAN
PORT ORANGE, FL
NPI
1841779386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA28775)
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
JORDAN BACHAN
1525 HERBERT ST STE 103
PORT ORANGE, FL 32129-6107
Phone number: 386-756-0424
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Mailing Address
JORDAN BACHAN
1398 5TH AVE
DELAND, FL 32724-3239
Phone number:
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