Individual
MRS. JANA M. JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
101 14TH ST NE, SUITE A, BUFFALO, MN 55313-2927
(763) 684-3899
(763) 684-3881
Mailing address
712 SUNSET ST, BUFFALO, MN 55313-3745
(763) 682-2376
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1667
MN
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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