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1942852652
JORDAN YOUNG
BURLINGTON, VT
NPI
1942852652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VT 104.0133922)
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
JORDAN YOUNG LAT, ATC
789 PINE ST
BURLINGTON, VT 05401-4933
Phone number: 802-264-1052
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Mailing Address
JORDAN YOUNG LAT, ATC
3031 SLACK ST
WEST DANVILLE, VT 05873-9734
Phone number: 802-535-9643
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