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1083246698
JORDAN BAKER
BENTONVILLE, AR
NPI
1083246698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AR 19-91216)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
JORDAN BAKER
2601 N WALTON BLVD STE 1
BENTONVILLE, AR 72712-4302
Phone number: 479-802-4798
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Mailing Address
JORDAN BAKER
2601 N WALTON BLVD STE 1
BENTONVILLE, AR 72712-4302
Phone number: 479-802-4798
Copy
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