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1992402754
JORDAN RUSSELL HAIRSTON
IRONTON, OH
NPI
1992402754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH PT020276)
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
JORDAN RUSSELL HAIRSTON PT, DPT
711 S 3RD ST
IRONTON, OH 45638-1854
Phone number: 740-534-1156
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Mailing Address
JORDAN RUSSELL HAIRSTON PT, DPT
1212 BATH AVE STE 350
ASHLAND, KY 41101-3685
Phone number: 606-324-0540
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