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Individual

JORDAN JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
622 US- 40 HWY, BLUE SPRINGS, MO 64014
(816) 815-7007
Mailing address
604 S CREWS AVE, ODESSA, MO 64076-1670
(843) 898-1064

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2021051085
MO

Other

Enumeration date
01/14/2022
Last updated
01/14/2022
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