Mr. Jordan Ray Dora
Mr. Jordan Ray Dora is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1215 S Boulder AveTulsa, OK 74119-2842
Phone: (918) 631-2619
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1548871270 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 14, 2020 |
| Last updated in NPPES | August 14, 2020 |
| Certification date | August 14, 2020 |
| Mailing address | 3866 Gertin St, Houston, TX 77004-6513 |
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