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Individual
JORDAN JAMES RADANDT
Active
Individual
JORDAN JAMES RADANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
11313930-0501
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
05/13/2018
Last updated
09/14/2021
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