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Individual

JORDYN RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
3133 GOOD SHEPHERD WAY, LONGVIEW, TX 75605-7921
(903) 323-6500
Mailing address
1136 MISSION CREEK DR, LONGVIEW, TX 75601-8610
(909) 957-2353

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7834
TX

Other

Enumeration date
02/08/2024
Last updated
02/08/2024
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