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1053874644
JORDAN RUSSELL
SPOKANE, WA
NPI
1053874644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
JORDAN RUSSELL
1819 E SPRINGFIELD AVE STE H
SPOKANE, WA 99202-2954
Phone number: 509-999-5657
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Mailing Address
JORDAN RUSSELL
1819 E SPRINGFIELD AVE STE H
SPOKANE, WA 99202-2954
Phone number: 509-999-5657
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