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1073810883
VERNA JORDAN
MODESTO, CA
NPI
1073810883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-02-15
Last Update Date
2011-02-15
Business Address
-- VERNA JORDAN
1700 MCHENRY VILLAGE WAY STE 16
MODESTO, CA 95350-4341
Phone number: 209-527-3270
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Mailing Address
-- VERNA JORDAN
1700 MCHENRY VILLAGE WAY STE 16
MODESTO, CA 95350-4341
Phone number: 209-527-3270
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