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1013478338
MARK AUSTIN JORDAN
WILSONVILLE, OR
NPI
1013478338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR 3886203)
Enumeration Date
2019-03-28
Last Update Date
2019-03-28
Business Address
MARK AUSTIN JORDAN
29174 SW TOWN CENTER LOOP W STE 101
WILSONVILLE, OR 97070-9309
Phone number: 971-252-6755
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Mailing Address
MARK AUSTIN JORDAN
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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