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Jordyn Brummund

NPI Registration Record

Provider / OrganizationNPIDate Certified
JORDYN BRUMMUND14478586002020-10-11
Entity TypeIndividual
Provider Name Jordyn Brummund
Practice Office Address5400 SHAWNEE RD STE 208
ALEXANDRIA, VA US
Practice Office Telephone7037500633
Mailing Address21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 913677807 US
Business Telephone8183452345
HPT Codes
CodeLicense NoState
106S00000X PRIMARY
OPI Codes

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