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Organization
JORDAHL CHIROPRACTIC, LLC
Active
Organization
JORDAHL CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JE'NE N JORDAHL D.C (OWNER)
(386) 299-3434
Entity
Organization
Contact information
Practice address
933 MILL ROAD LN, PORT ORANGE, FL 32127-4865
(386) 299-3434
Mailing address
933 MILL ROAD LN, PORT ORANGE, FL 32127-4865
(386) 299-3434
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9827
FL
Other
Enumeration date
04/30/2012
Last updated
10/30/2013
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