GERALD STEPHEN JORDAN

CLEVELAND, MS
NPI1952321184
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0328)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
Mr. GERALD STEPHEN JORDAN ATC
1417 MAPLE ST
CLEVELAND, MS 38733-0001
Phone number: 662-846-4300
Mailing Address
Mr. GERALD STEPHEN JORDAN ATC
DSU PO BOX 683
CLEVELAND, MS 38733-0001
Phone number: 662-846-4300
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