JORDAN ELLIS

OMAHA, NE
NPI1891239901
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2016-12-08
Last Update Date2016-12-08
Business Address
-- JORDAN ELLIS
5814 S 105TH ST
OMAHA, NE 68127-2909
Phone number: 402-321-6867
Mailing Address
-- JORDAN ELLIS
5814 S 105TH ST
OMAHA, NE 68127-2909
Phone number: 402-321-6867
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