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1043068042
JAYLEN BRIAN ARTERBERRY FRARE JORDAN
SACRAMENTO, CA
NPI
1043068042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-07
Last Update Date
2024-05-07
Business Address
JAYLEN BRIAN ARTERBERRY FRARE JORDAN
3604-B FAIR OAKS BLVD. SUITE 200
SACRAMENTO, CA 95864
Phone number: 855-223-7123
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Mailing Address
JAYLEN BRIAN ARTERBERRY FRARE JORDAN
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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