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Individual

JORDAN QUILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
884 E HIGH ST APT 2, POTTSTOWN, PA 19464-5753
(484) 425-9713
Mailing address
884 E HIGH ST APT 2, POTTSTOWN, PA 19464-5753
(484) 425-9713

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG013097
PA

Other

Enumeration date
08/07/2023
Last updated
08/07/2023
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