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1083363386
JORDAN BLACK
ATWATER, CA
NPI
1083363386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
JORDAN BLACK
584 E BELLEVUE RD
ATWATER, CA 95301-2300
Phone number: 559-747-2177
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Mailing Address
JORDAN BLACK
584 E BELLEVUE RD
ATWATER, CA 95301-2300
Phone number:
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