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1871199471
JORDAN VANDYCK
HALES CORNERS, WI
NPI
1871199471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 15231-24)
Enumeration Date
2020-12-09
Last Update Date
2024-05-06
Business Address
JORDAN VANDYCK DPT
5764 S 108TH ST
HALES CORNERS, WI 53130-1947
Phone number: 414-400-7110
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Mailing Address
JORDAN VANDYCK DPT
5764 S 108TH ST
HALES CORNERS, WI 53130-1947
Phone number: 414-400-7110
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