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1982190591
JORDAN ELIZABETH BLOUGH
JEFFERSON, LA
NPI
1982190591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200209)
Enumeration Date
2018-07-06
Last Update Date
2018-07-06
Business Address
JORDAN ELIZABETH BLOUGH ATC
1201 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1015
Phone number: 504-736-4800
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Mailing Address
JORDAN ELIZABETH BLOUGH ATC
1212 FOCIS ST
METAIRIE, LA 70005-2318
Phone number: 941-356-7483
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