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Individual

KEITH R. JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
11860 CLIFTON BLVD, LAKEWOOD, OH 44107-2000
(216) 521-2225
(216) 521-2919
Mailing address
11860 CLIFTON BLVD, LAKEWOOD, OH 44107-2000
(216) 521-2225
(216) 521-2919

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2186
OH
111N00000X
Chiropractor
OH

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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