JORDAN SHERADEN

DECATUR, IL
NPI1902298318
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.005628)
Enumeration Date2015-02-22
Last Update Date2015-02-22
Business Address
-- JORDAN SHERADEN
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-5241
Mailing Address
-- JORDAN SHERADEN
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number:
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