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1093479628
JORDAN M LYSSY
LIVE OAK, TX
NPI
1093479628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-29
Last Update Date
2021-10-29
Business Address
JORDAN M LYSSY
7608 NARROW PASS ST
LIVE OAK, TX 78233-3019
Phone number: 210-714-3545
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Mailing Address
JORDAN M LYSSY
7608 NARROW PASS ST
LIVE OAK, TX 78233-3019
Phone number: 210-714-3545
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