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1023556529
FREDRICK JORDAN
TACOMA, WA
NPI
1023556529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-02-03
Last Update Date
2017-02-03
Business Address
-- FREDRICK JORDAN
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5822
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Mailing Address
-- FREDRICK JORDAN
15333 RAINIER VIEW LN SE
YELM, WA 98597
Phone number: 360-480-8752
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