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1972270981
JORDAN JOHN MCGOWAN
ROSEVILLE, MN
NPI
1972270981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 12403)
Enumeration Date
2021-08-26
Last Update Date
2021-08-26
Business Address
JORDAN JOHN MCGOWAN DPT
1686 LEXINGTON AVE N
ROSEVILLE, MN 55113-6514
Phone number: 952-835-4512
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Mailing Address
JORDAN JOHN MCGOWAN DPT
7825 3RD ST N STE 105
OAKDALE, MN 55128-5403
Phone number: 952-835-4512
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