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Individual

JORDAN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
20050 N CAVE CREEK RD APT 388, PHOENIX, AZ 85024-5436
(480) 636-9415
Mailing address
20050 N CAVE CREEK RD APT 388, PHOENIX, AZ 85024-5436
(480) 636-9415

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-009008
AZ

Other

Enumeration date
11/11/2018
Last updated
11/11/2018
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