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Individual

DR. JORDAN MICHELLE LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C

Contact information

Practice address
2140 NORCOR AVE, SUITE D, CORALVILLE, IA 52241-9736
(319) 354-4186
Mailing address
2140 NORCOR AVE, SUITE D, CORALVILLE, IA 52241-9736
(319) 354-4186

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007733
IA

Other

Enumeration date
09/03/2014
Last updated
04/20/2015
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