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1013220714
ALSHONDA JATICE JORDAN
LOS ANGELES, CA
NPI
1013220714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-07-22
Last Update Date
2010-07-22
Business Address
-- ALSHONDA JATICE JORDAN
11818 S CENTRAL AVE
LOS ANGELES, CA 90059-2861
Phone number: 323-218-1233
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Mailing Address
-- ALSHONDA JATICE JORDAN
11818 S CENTRAL AVE
LOS ANGELES, CA 90059-2861
Phone number: 323-218-1233
Copy
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