Individual
JORDAN ORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5747 MEMORIAL GYM, ORONO, ME 04469-5747
(207) 581-1072
(207) 581-4474
Mailing address
32 COMINS RD, NORTH OXFORD, MA 01537-1041
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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