Individual
MR. JORDAN RAY DORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 S BOULDER AVE, TULSA, OK 74119-2842
(918) 631-2619
Mailing address
3866 GERTIN ST, HOUSTON, TX 77004-6513
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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