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1992417489
JORDAN GROENNERT
HIGHLAND, IL
NPI
1992417489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-12-16
Last Update Date
2022-12-16
Business Address
JORDAN GROENNERT DPT
12866 TROXLER AVE
HIGHLAND, IL 62249-2806
Phone number: 618-651-2600
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Mailing Address
JORDAN GROENNERT DPT
12723 CRESTVIEW LN
TRENTON, IL 62293-1430
Phone number: 618-830-9333
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