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1033390570
ROOSEVELT J JORDAN
FREMONT, CA
NPI
1033390570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2007-11-26
Last Update Date
2007-11-26
Business Address
-- ROOSEVELT J JORDAN
588 BROWN RD
FREMONT, CA 94539-7011
Phone number: 510-252-0910
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Mailing Address
-- ROOSEVELT J JORDAN
588 BROWN RD
FREMONT, CA 94539-7011
Phone number: 510-252-0910
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