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1043662059
UNDREY JORDAN
LOS ANGELES, CA
NPI
1043662059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-07-01
Last Update Date
2016-07-01
Business Address
-- UNDREY JORDAN
600 E 7TH ST STE 105
LOS ANGELES, CA 90021-1439
Phone number: 213-537-0110
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Mailing Address
-- UNDREY JORDAN
600 E 7TH ST STE 105
LOS ANGELES, CA 90021-1439
Phone number: 213-537-0110
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