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1891298121
JORDAN DEL MUNDO
FORT BENNING, GA
NPI
1891298121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502000751)
Enumeration Date
2018-03-13
Last Update Date
2022-04-22
Business Address
JORDAN DEL MUNDO
6600 VAN AALST BLVD
FORT BENNING, GA 31905-2102
Phone number: 762-408-2273
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Mailing Address
JORDAN DEL MUNDO
5800 MILGEN RD APT 93
COLUMBUS, GA 31907-5924
Phone number:
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