Individual
JORDAN DILLON MAGERS
Active
Individual
JORDAN DILLON MAGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDHS
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1468920995
USCG
—
Enumeration date
11/15/2021
Last updated
11/15/2021
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