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Individual
JORDAN NICOLE CHURCH
Active
Individual
JORDAN NICOLE CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2050
AL
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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