LANCE JACOB JORDAN

MOUNTAIN BRK, AL
NPI1861187106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2023-04-11
Last Update Date2023-04-11
Business Address
LANCE JACOB JORDAN ATC
3650 BETHUNE DR
MOUNTAIN BRK, AL 35223-1420
Phone number: 205-903-8496
Mailing Address
LANCE JACOB JORDAN ATC
3650 BETHUNE DR
MOUNTAIN BRK, AL 35223-1420
Phone number:
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