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1871959320
JORDAN ALLEN
LAKELAND, FL
NPI
1871959320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL3867)
Enumeration Date
2016-01-13
Last Update Date
2016-01-13
Business Address
Mr. JORDAN ALLEN MS,ATC,LAT
1111 FOREST PARK ST
LAKELAND, FL 33803-1832
Phone number: 863-688-2771
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Mailing Address
Mr. JORDAN ALLEN MS,ATC,LAT
2935 WOODLAND HILLS AVE
LAKELAND, FL 33803-4141
Phone number: 863-287-4624
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