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Jordan Lange, ATC
NPI 1215582192 · on the registry since 2019
Practice
- Address
- 4020 Clearwater Rd Apt 206
Saint Cloud, MN 56301 - Phone
- (218) 396-0160
- Organisation at this address
- H D Transportation Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota