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Organization
JORDAN SPINE & REHAB CENTER LLC
Active
Organization
JORDAN SPINE & REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN MICHELLE JORDAN DC (CHIROPRACTOR)
(309) 431-2357
Entity
Organization
Contact information
Practice address
4 YOUNT DR STE 4, BLOOMINGTON, IL 61704-3737
(309) 431-2357
Mailing address
307 BEACON CIR, BLOOMINGTON, IL 61704-1442
(309) 531-9374
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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