Jordan R Divine
NPI #1407146582 in Loogootee, Indiana
Provider Information
- NPI Number
- 1407146582
- Entity Type
- Individual
- Name
- Jordan R Divine
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Enumeration Date
- Apr 11, 2011
- Last Updated
- Jun 28, 2011
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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