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Individual

JORDAN C LENNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
940 DAVIS ST N, SULPHUR SPRINGS, TX 75482-5428
(903) 348-0605
Mailing address
940 DAVIS ST N, SULPHUR SPRINGS, TX 75482-5428
(903) 348-0605

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2123001
TX

Other

Enumeration date
08/09/2018
Last updated
08/09/2018
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