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1962770206
JORDAN E SHIVERS
HOUSTON, TX
NPI
1962770206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2085668)
Enumeration Date
2011-12-01
Last Update Date
2011-12-01
Business Address
-- JORDAN E SHIVERS
16411 GLENSHANNON DR
HOUSTON, TX 77059-6006
Phone number: 281-734-3213
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Mailing Address
-- JORDAN E SHIVERS
16411 GLENSHANNON DR
HOUSTON, TX 77059-6006
Phone number: 281-734-3213
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