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1003426552
CHARLTON EDMOND JORDAN
AURORA, CO
NPI
1003426552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-08
Last Update Date
2020-08-18
Business Address
CHARLTON EDMOND JORDAN
1290 CHAMBERS RD
AURORA, CO 80011-7117
Phone number: 303-364-3481
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Mailing Address
CHARLTON EDMOND JORDAN
1290 CHAMBERS RD
AURORA, CO 80011-7117
Phone number: 303-364-3481
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