Individual
JORDAN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 KILLORAN DR, ESSEX JUNCTION, VT 05452-4607
(802) 578-1958
Mailing address
14 KILLORAN DR, ESSEX JUNCTION, VT 05452-4607
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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