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Individual

JORDAN LINDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LAT, ATC

Contact information

Practice address
2505 S GRANGE AVE, SIOUX FALLS, SD 57105
(605) 274-4332
Mailing address
4302 N PENNSYLVANIA AVE, SIOUX FALLS, SD 57107-6826

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0536
SD
2255A2300X
Athletic Trainer
2846
MN

Other

Enumeration date
12/15/2016
Last updated
04/25/2022
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