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1023659182
THERESA ANN JORDAN
SACRAMENTO, CA
NPI
1023659182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 41449)
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
THERESA ANN JORDAN LPT41449
6950 65TH ST
SACRAMENTO, CA 95823-2316
Phone number: 916-393-1222
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Mailing Address
THERESA ANN JORDAN LPT41449
530 EASTBROOK CIR
SACRAMENTO, CA 95835-1348
Phone number: 916-335-8641
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